Asif Iqbal, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301109605 Issued in MI

Practice address

58144 Gratiot Ave
New Haven, MI 48048

Phone

(586) 749-5197

Fax

(586) 749-5560

NPI assigned

Jun 15, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Downriver Community Services Inc 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: asif.iqbal@dcsi.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Downriver Community Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Algonac, MI
  • NPI 1851399570

  MI

  Medicare reassignment Care Compare group NPD
• Downriver Community Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Port Huron, MI
  • NPI 1184935488

  Family Medicine

  Care Compare group NPD
• Downriver Community Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Haven, MI
  • NPI 1679571392
  Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Macomb Hospital Corporation

  • General Acute Care Hospital
  • Clinton TWP, MI
  • NPI 1023114634

  Hospital

  Care Compare affiliation
• Henry Ford Macomb Hospital Corporation

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1902842735

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1982054482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58144 GRATIOT AVE",
            "city": "NEW HAVEN",
            "state": "MI",
            "postal_code": "48048",
            "telephone_number": "586-749-5197",
            "fax_number": "586-749-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58144 GRATIOT AVE",
            "city": "NEW HAVEN",
            "state": "MI",
            "postal_code": "48048",
            "telephone_number": "586-749-5197",
            "fax_number": "586-749-5560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "461 W Huron St",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483411601",
            "country_code": "US",
            "telephone_number": "248-857-6700",
            "fax_number": "248-857-6955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "ASIF",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-15",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301109605",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301109605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharyn Ruth Handley, RN
• Virginia Hartner, RN
• Ingrid Nicole Nakita Hayes
• Annette Sheadrick Higgins
• Elexis Hoffmann, DDS
• Jamie Jakubus, M.A.
• Ashanni Jennings
• Aline Kalayjian, RD
• Candace Kasper, RD
• Cynthia Kendziuk, RN

• All providers in New Haven, MI
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.