Active NPI
Anjum Iqbal, MD
- Internal Medicine Physician
- Somerset, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 23914
- Practice address
- 110 Hardin LN
Suite 9
Somerset, KY 42503-3818 - Phone
- (606) 679-7317
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23914 | KY | Primary |
Addresses
Primary practice location
110 Hardin LN
Suite 9
Somerset, KY 42503-3818
Mailing address
110 Hardin LN
Suite 9
Somerset, KY 42503-3818
Phone (606) 679-7317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64239148 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23914 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Cumberland Physician Practices, LLC | Current | Accepting new patients | |
| Lake Cumberland Physician Practices LLC | Current | Accepting new patients | |
| Lake Cumberland Physician Practices LLC | Current | Accepting new patients |
Locations
30 Tower Cir
Somerset, KY 42503
Phone (606) 451-8644
103 Hardin Ln
Ste A
Somerset, KY 42503
Phone (606) 451-0300
110 Hardin Ln
Ste 9
Somerset, KY 42503
Phone (606) 679-7316
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lake Cumberland Orthopedics
- Orthopaedic Surgery Physician
- Somerset, KY
- NPI 1811356892
-
dba Daniel R Yanicko Jr MD
- Orthopaedic Surgery Physician
- Somerset, KY
- NPI 1104261403
-
dba Gastroenterology of Lake Cumberland
- Gastroenterology Physician
- Somerset, KY
- NPI 1174091383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1982793790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 HARDIN LN",
"address_2": "SUITE 9",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425033818",
"telephone_number": "606-679-7317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 HARDIN LN",
"address_2": "SUITE 9",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425033818",
"telephone_number": "606-679-7317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IQBAL",
"first_name": "ANJUM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "23914",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64239148",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
- Annsley Elizabeth Ingram, DO
- Innovative Solutions R & D LLC (Congruence in Care)
- Interconnected Behavior Essentials Skills Training & Conulting LLC (Interconnected Behavior Essentials Skills Training)
- Interpreting Service of the Commonwealth, LLC
- Intrepid of Southern Kentucky, Inc. (Intrepid USA Healthcare Services)
- Ibraiz Iqbal, MD
- Khalid Iqbal, MD
- Shazia Iqbal, MD
- Eric Joseph Iribar, DO
- Lacey Renee Irvine, LPCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.