Individual provider Active NPI

Sohah N Iqbal, MD

  • Interventional Cardiology Physician
  • Salem, MA
National Provider Identifier
1992902555
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
282384 Issued in MA
Practice address
81 Highland Ave
Salem, MA 01970-2714
Phone
(978) 744-5900
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 231391 NY
Interventional Cardiology Physician 207RI0011X 282384 MA Primary

Addresses

Primary practice location

81 Highland Ave
Salem, MA 01970-2714

Mailing address

190 Bridge St Apt 2109
Salem, MA 01970-7407
Phone (212) 315-9806

Other practice location 1

55 Fruit St
Blake 9
Boston, MA 02114-2696
Phone (644) 866-8910

Other practice location 2

102-104 Endicott St
Cardiology
Danvers, MA 01923
Phone (978) 573-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090915000425 NY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 1759437882 Reassigns benefits to 3 organizations
I20200407003139 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 1759437882 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Harvard Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Massachusetts General Physicians Organization IncGroup PAC ID 2466365820, 3,494 clinicians

Practice addresses (Care Compare)

102 Endicott St
MGH North Shore Medical
Danvers, MA 01923-3623
Phone (978) 882-6100

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 354-2551

Hospital & facility affiliations

  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
231391NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince May 1, 2011 Accepting new patients
New York University CurrentSince May 1, 2011 Accepting new patients
The General Hospital Corporation CurrentSince Sep 14, 2020 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Sep 14, 2020 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Apr 16, 2020 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Nov 1, 2012 Accepting new patients
New York University Past Accepting new patients

Locations

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

55 Fruit St
#9
Boston, MA 02114
Phone (617) 724-3874

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

550 1st Ave
#576
New York, NY 10016
Phone (212) 263-5656

9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: iqbal.sohah.nsmc@direct.partners.masshiway.net

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1992902555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 BRIDGE ST APT 2109",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019707407",
            "telephone_number": "212-315-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702714",
            "telephone_number": "978-744-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fruit St",
            "address_2": "Blake 9",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142696",
            "country_code": "US",
            "telephone_number": "644-866-8910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102-104 Endicott St",
            "address_2": "Cardiology",
            "address_purpose": "LOCATION",
            "city": "Danvers",
            "state": "MA",
            "postal_code": "01923",
            "country_code": "US",
            "telephone_number": "978-573-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "SOHAH",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "231391",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MA",
            "license": "282384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.