KHALID IQBAL MD
NPI 1447349329
Internal Medicine - Gastroenterology in Somerset, KY
NPI Status: Active since October 11, 2006
Contact Information
110 HARDIN LN
SUITE 9
SOMERSET, KY
ZIP 42503
Phone: (606) 679-7317
- Individual
- Male
- Internal Medicine
- Gastroenterology
- PECOS Enrolled
- Medicare Quality Reporting
About KHALID IQBAL
This page provides the complete NPI Profile along with additional information for Khalid Iqbal, an internist established in Somerset, Kentucky with a medical specialization in Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1447349329 assigned on October 2006. The practitioner's primary taxonomy code is 207RG0100X with license number 23896 (KY). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1447349329
- Provider Name
- KHALID IQBAL MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 110 HARDIN LN SUITE 9 SOMERSET, KY 42503
- Location Phone
- (606) 679-7317
- Mailing Address
- 110 HARDIN LN SUITE 9 SOMERSET, KY 42503
- Mailing Phone
- (606) 679-7317
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-11-2006
- Last Update Date
- 07-09-2007
- Code Navigator
An internist like Khalid Iqbal is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 23896
- License State
- KY
- Taxonomy Description
- An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64238967 | MEDICAID (05) | KY | |
| C75248 | MEDICARE UPIN (02) | KY | |
| 1403501 | MEDICARE ID-TYPE UNSPECIFIED (04) | KY | MEDICARE |
Medicare Participation & PECOS Enrollment Status
Khalid Iqbal is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 42503 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $122.77
- Minimum New Patient Price $52.76
- Maximum New Patient Price $162.27
- Average New Patient Copayment $30.69
- Minimum New Patient Copayment $13.19
- Maximum New Patient Copayment $40.56
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.94
- Minimum Established Patient Price $16.53
- Maximum Established Patient Price $131.99
- Average Established Patient Copayment $23.48
- Minimum Established Patient Copayment $4.13
- Maximum Established Patient Copayment $32.99
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Care Plan | 92% | 173 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
| Colorectal Cancer Screening | 71% | 350 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Documentation of Current Medications in the Medical Record | 100% | 1096 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Engagement of New Medicaid Patients and Follow-up | Yes | N/A |
| Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity. | ||
| e-Prescribing | 87% | 237 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
| Medication Reconciliation | 96% | 167 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 69% | 211 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 99% | 588 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 84% | 350 |
| Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user | ||
| Provide Patient Access | 99% | 211 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 27% | 211 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 4 | 7 | 3 | 4 | 9 | 3 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 8 | 7 | 6 | 4 | 18 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 8 + 7 + 6 + 4 + 1 + 8 + 3 + 4 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1447349329 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1861484099 | LALITKUMAR PATEL M.D. Individual | Anesthesiology | 110 HARDIN LN SOMERSET, KY 42503 (606) 678-3288 |
| 1639171085 | PHILLIP SHIBLEY M.D. Individual | Anesthesiology | 110 HARDIN LN SOMERSET, KY 42503 (606) 678-3288 |
| 1467444174 | JAMIE GRIDER CRNA Individual | Nurse Anesthetist, Certified Registered | 110 HARDIN LN SOMERSET, KY 42503 (606) 678-3288 |
| 1871585430 | JIMMY HICKS CRNA Individual | Nurse Anesthetist, Certified Registered | 110 HARDIN LN SOMERSET, KY 42503 (606) 678-3288 |
| 1770510539 | SHEENA HOLLON LCSW Individual | Social Worker (Clinical) | 110 HARDIN LN SOMERSET, KY 42503 (606) 679-7348 |
| 1457375289 | SCOTT MATTHEW STEPHENS M.D. Individual | Internal Medicine | 110 HARDIN LN SUITE 10 SOMERSET, KY 42503 (606) 679-9268 |
| 1982793790 | ANJUM IQBAL MD Individual | Internal Medicine | 110 HARDIN LN SUITE 9 SOMERSET, KY 42503 (606) 679-7317 |
| 1245329069 | MOHAMMAD AFZAL MD Individual | Internal Medicine | 110 HARDIN LN SUITE 2-B SOMERSET, KY 42503 (606) 451-0312 |
| 1902958887 | DR. SUSAN BALLOU GIBSON DMD, MSD Individual | Dentist (Periodontics) | 110 HARDIN LN SUITE 2 SOMERSET, KY 42503 (606) 678-9664 |
| 1407993074 | LAKE CUMBERLAND GASTROENTEROLOGY AND INTERNAL MEDICINE ASSOC. INC. Organization | Internal Medicine (Gastroenterology) | 110 HARDIN LN SUITE 9 SOMERSET, KY 42503 (606) 679-7317 |
| 1568898880 | MEGAN WEATHERFORD Individual | Psychologist (Counseling) | 110 HARDIN LN SOMERSET, KY 42503 (606) 679-7348 |
| 1174527956 | SANAA ABDEL-RAHMAN MAHMOUD M.D. Individual | Allergy & Immunology | 110 HARDIN LN STE 3 SOMERSET, KY 42503 (606) 451-0115 |
| 1144358391 | MOUNTAINVIEW BEHAVIORAL & NEUROSCIENCE CENTER LLC Organization | Psychiatry & Neurology (Psychiatry) | 110 HARDIN LN SUITE 1 SOMERSET, KY 42503 (606) 451-9748 |
| 1750678728 | PULMONARY AND SLEEP ASSOCIATES LLC Organization | Internal Medicine (Pulmonary Disease) | 110 HARDIN LN SUITE 10 SOMERSET, KY 42503 (606) 678-0946 |
| 1588760706 | DR. ROBINA M BOKHARI M.D. Individual | Psychiatry & Neurology (Psychiatry) | 110 HARDIN LN SUITE #1 SOMERSET, KY 42503 (606) 451-9748 |
| 1891303368 | 1025 HEALTH, LLC Organization | Nurse Practitioner (Adult Health) | 110 HARDIN LN SOMERSET, KY 42503 (606) 451-9748 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447349329, enumerated in the NPI registry as an "individual" on October 11, 2006
The provider is located at 110 Hardin Ln Suite 9 Somerset, Ky 42503 and the phone number is (606) 679-7317
The provider's speciality is Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $122.77 with an average copayment of $30.69 for new patient appointments. Established patients should expect a typical charge of $93.94 and an average copayment of 23.48. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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