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SUMAIYA IQBAL M.D.
NPI 1174987739
Internal Medicine in Piscataway, NJ

Active since April 11, 2016PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
1080 STELTON RD STE 1, PISCATAWAY, NJ 08854(848) 230-6810(848) 230-6832 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2023, Jul 17, 2019, Jun 10, 2019 (3 updates tracked since 2019).

About Sumaiya Iqbal M.d. NPPES

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

SUMAIYA IQBAL M.D. (NPI 1174987739) is an individual internal medicine provider in Piscataway, New Jersey, licensed in New Jersey (25MA11742400) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1174987739
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUMAIYA IQBALCredential: M.D.
Location Address1080 STELTON RD STE 1Piscataway, NJ 08854-5200
Mailing Address1080 Stelton Rd Ste 1Piscataway, NJ 08854-5200 · (848) 230-6810 · Fax (848) 230-6832
Phone(848) 230-6810
Fax(848) 230-6832
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 11, 2016
Last NPPES UpdateMay 11, 20233 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1174987739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NJ · 25MA11742400✔ Licensed in NY · 297176
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.
1080 STELTON RD STE 1, Piscataway, NJ 08854
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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

Sumaiya Iqbal M.d. 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 ID7315284064
PECOS Enrollment IDI20230424002223
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 2

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.
48 services20 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
30 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08854 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

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 Sumaiya Iqbal's NPI number?

The NPI number for Sumaiya Iqbal is 1174987739. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Sumaiya Iqbal located?

Sumaiya Iqbal practices at 1080 Stelton Rd Ste 1, Piscataway, NJ 08854. The listed phone number is (848) 230-6810.

What is Sumaiya Iqbal's specialty?

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

Is Sumaiya Iqbal enrolled in Medicare?

Yes. Sumaiya 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.

Is Sumaiya Iqbal affiliated with any hospitals?

According to CMS data, Sumaiya Iqbal is affiliated with Morristown Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Sumaiya Iqbal was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.