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AMENA IQBAL
NPI 1124469523
Internal Medicine - Endocrinology, Diabetes & Metabolism in Saint Joseph, MI

Active since July 13, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3950 HOLLYWOOD RD, SAINT JOSEPH, MI 49085(269) 408-1600(269) 408-1602 Get Directions Write a Review

NPPES record last updated: September 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2019, Jun 13, 2019 (2 updates tracked since 2019).

About Amena Iqbal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMENA IQBAL (NPI 1124469523) is an individual endocrinology, diabetes & metabolism provider in Saint Joseph, Michigan, licensed in Michigan (4301115218) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124469523
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameAMENA IQBAL
Location Address3950 HOLLYWOOD RDSaint Joseph, MI 49085-9159
Mailing Address2704 W Arthur Ave, Apt 3sChicago, IL 60645-5235 · (312) 912-3927
Phone(269) 408-1600
Fax(269) 408-1602
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 13, 2013
Last NPPES UpdateSeptember 13, 20192 updates tracked since enumeration
✔ NPI 1124469523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MI · 4301115218
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125.065211 (IL)
3950 HOLLYWOOD RD, Saint Joseph, MI 49085
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11234 Napier AveSaint Joseph, MI 49085-2112 · Phone (269) 983-5334 · Fax (269) 408-1602
Location 24646 N Marine Dr, Suite 7100Chicago, IL 60640-5759 · Phone (773) 564-5225 · Fax (773) 564-5226

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amena Iqbal is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476776220
PECOS Enrollment IDI20180820002466
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
325 services211 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
232 services98 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
184 services95 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
93 services70 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
26 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Corewell Health Watervliet Hospital

Acute Care Hospitals · Watervliet, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230078
Location400 Medical Park DrWatervliet, MI 49098 · Berrien County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers26 claims304 services$18.49 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers26 claims765 services$2.37 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers16 claims55 services$5.82 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers22 claims22 services$277.34 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
10 suppliers342 claims342 services$183.18 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
3 suppliers13 claims13 services$204.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENJAMIN T. WOOD
Obstetrics & Gynecology
3950 HOLLYWOOD RD, SUITE 100
SAINT JOSEPH, MI 49085
Berrien County (269) 429-8010
DR. YU-LAM CHRISTOPHER CHIU M.D.
Internal Medicine (Interventional Cardiology)
3950 HOLLYWOOD RD, SUITE 110
SAINT JOSEPH, MI 49085
Berrien County (269) 985-1000
LAKESIDE CANCER SPECIALISTS, PLLC
Clinic/Center (Oncology)
3950 HOLLYWOOD RD, SUITE 240
SAINT JOSEPH, MI 49085
Berrien County (269) 428-4411
DR. PHILIP JASHEWAY PT, AT
Physical Therapist
3950 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 556-7150
DR. JOHN L BARD MD
Obstetrics & Gynecology
3950 HOLLYWOOD RD, SUITE 100
SAINT JOSEPH, MI 49085
Berrien County (269) 429-8010
SPECTRUM HEALTH HOSPITALS
Pediatrics (Pediatric Hematology-Oncology)
3950 HOLLYWOOD RD, SUITE 240
SAINT JOSEPH, MI 49085
Berrien County (616) 267-1925
DR. THOMAS K POW M.D.
Internal Medicine (Interventional Cardiology)
3950 HOLLYWOOD RD, SUITE 110
SAINT JOSEPH, MI 49085
Berrien County (269) 985-1000
GREAT LAKES HEART & VASCULAR INSTITUTE, P.C.
Internal Medicine (Cardiovascular Disease)
3950 HOLLYWOOD RD, SUITE 110
SAINT JOSEPH, MI 49085
Berrien County (269) 985-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amena Iqbal's NPI number?

The NPI number for Amena Iqbal is 1124469523. It was assigned to this individual provider in the NPPES registry on July 13, 2013.

Where is Amena Iqbal located?

Amena Iqbal practices at 3950 Hollywood Rd, Saint Joseph, MI 49085. The listed phone number is (269) 408-1600.

What is Amena Iqbal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Amena Iqbal enrolled in Medicare?

Yes. Amena Iqbal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amena Iqbal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Amena Iqbal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Amena Iqbal affiliated with any hospitals?

According to CMS data, Amena Iqbal is affiliated with Lakeland Hospital, St Joseph and Corewell Health Watervliet Hospital.

When was this NPI record last updated?

The NPPES record for Amena Iqbal was last updated on September 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.