Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOFIA IQBAL MD
NPI 1154707511
Internal Medicine in Edmond, OK

Q: What is Sofia Iqbal's NPI number?

The NPI number for Sofia Iqbal is 1154707511. It was assigned to this individual provider in the NPPES registry on August 7, 2015.

Q: What is Sofia Iqbal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Sofia Iqbal was last updated on September 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.

Active since August 07, 2015PECOS EnrolledAccepts Medicare Assignment

4801 INTEGRIS PKWY, EDMOND, OK 73034(405) 657-3000 Get Directions Write a Review

NPPES record last updated: September 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 27, 2026, Dec 22, 2021, Aug 29, 2018 (3 updates tracked since 2018).

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About Sofia Iqbal Md NPPES

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

SOFIA IQBAL MD (NPI 1154707511) is an individual internal medicine provider in Edmond, Oklahoma, licensed in Oklahoma (50420) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1154707511

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSOFIA IQBALCredential: MD

Location Address4801 INTEGRIS PKWYEdmond, OK 73034-8864

Mailing Address4801 Integris PkwyEdmond, OK 73034-8864 · (405) 657-3000

Phone(405) 657-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 7, 2015

Last NPPES UpdateSeptember 27, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2026

✔ NPI 1154707511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OK · 50420

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4801 INTEGRIS PKWY, Edmond, OK 73034

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sofia Iqbal Md 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 ID2062702970

PECOS Enrollment IDI20180905003270, I20250421002314

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.

Medicare Billing Reassignments

Medicare enrollment records show Sofia Iqbal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Clinic Springfield Communities

211 mi

Rural Health

92 MAIN ST
Cassville, MO 65625

Reassigned Medicare billing, Missouri enrollment
1,487 clinicians in this Medicare group

NPI 1497887848 (417) 847-5225

Hni Medical Services Of Missouri, LLC

254 mi

Internal Medicine

1630 E PRIMROSE ST
Springfield, MO 65804

Reassigned Medicare billing, Missouri enrollment
18 clinicians in this Medicare group

NPI 1659943975 (717) 972-1100

Cole Physician Services LLC

353 mi

Hospitalist

100 ST. MARY'S MEDICAL PLAZA
Jefferson City, MO 65101

Reassigned Medicare billing, Missouri enrollment
93 clinicians in this Medicare group

NPI 1144578659 (573) 761-7011

Emergency Medicine Associates P.A., P.C.

1,126 mi

Emergency Medicine

1850 TOWN CENTER PKWY
Reston, VA 20190

Reassigned Medicare billing, District of Columbia enrollment
1,150 clinicians in this Medicare group

NPI 1932064268 (330) 493-4443

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

621 services162 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

391 services131 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

133 services111 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

111 services101 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

38 services37 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490063

Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County

Emergency services Birthing friendly

Reston Hospital Center

Acute Care Hospitals · Reston, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490107

Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73034 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers12 claims12 services$89.13 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.

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