SHAHEEN IQBAL MD
NPI 1194709394
Internal Medicine - Pulmonary Disease in Hagerstown, MD

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
12821 OAK HILL AVE, HAGERSTOWN, MD 21742(301) 733-0300 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2022, Jul 12, 2021 (2 updates tracked since 2021).

About Shaheen Iqbal Md NPPES

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

SHAHEEN IQBAL MD (NPI 1194709394) is an individual pulmonary disease provider in Hagerstown, Maryland, licensed in Maryland (D47288) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Meritus Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1194709394
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSHAHEEN IQBALCredential: MD
Location Address12821 OAK HILL AVEHagerstown, MD 21742
Mailing Address12821 Oak Hill AveHagerstown, MD 21742-2940 · (301) 733-0300 · Fax (301) 733-5773
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateDecember 1, 2005
Last NPPES UpdateMay 12, 20222 updates tracked since enumeration
NPPES CertifiedMay 12, 2022
NPI 1194709394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in MD · D47288 Licensed in WV · 19274 Licensed in PA · MD 055858 L
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

12821 OAK HILL AVE, Hagerstown, MD 21742

Secondary Practice Locations 3

Location 111110 Medical Campus Rd Ste 224Hagerstown, MD 21742-6727 · Phone (301) 733-0300
Location 21823A E Main StWaynesboro, PA 17268-1878 · Phone (717) 762-3353
Location 3604 Solarex Ct Unit 207Frederick, MD 21703-8655 · Phone (240) 439-4344

Other Identifiers 1

Medicaid355381700MD

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

Shaheen 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 ID1658272919
PECOS Enrollment IDI20040119000668, I20120125000207
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 20

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.
1,396 services895 patients
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.
499 services130 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
377 services369 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
377 services369 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
377 services369 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.
160 services160 patients

Hospital Affiliations CMS Care Compare 2

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

Meritus Medical Center

Acute Care Hospitals · Hagerstown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210001
Location11116 Medical Campus RoadHagerstown, MD 21742 · Washington County
Emergency services Birthing friendly

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21742 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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 25

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
14 suppliers104 claims104 services$37.47 avg. paid by Medicare
Tracheal suction catheter, closed system, each A4605
DME-Other DME · category DE000N
1 supplier11 claims110 services$15.81 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
14 suppliers334 claims334 services$90.70 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
14 suppliers383 claims713 services$33.52 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
17 suppliers263 claims1,053 services$19.55 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
14 suppliers134 claims558 services$13.88 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 12

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

Internal Medicine (Pulmonary Disease)
12821 OAK HILL AVE
HAGERSTOWN, MD 21742
Internal Medicine (Pulmonary Disease)
12821 OAK HILL AVE
HAGERSTOWN, MD 21742
Nurse Practitioner (Adult Health)
12821 OAK HILL AVE
HAGERSTOWN, MD 21742
Pharmacy (Community/Retail Pharmacy)
12821 OAK HILL AVE
HAGERSTOWN, MD 21742
Internal Medicine (Pulmonary Disease)
12821 OAK HILL AVE
HAGERSTOWN, MD 21742
Nurse Practitioner (Family)
12821 OAK HILL AVE
HAGERSTOWN, MD 21742
Internal Medicine (Pulmonary Disease)
12821 OAK HILL AVE
HAGERSTOWN, MD 21742
Internal Medicine (Pulmonary Disease)
12821 OAK HILL AVE
HAGERSTOWN, MD 21742

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 Shaheen Iqbal's NPI number?

The NPI number for Shaheen Iqbal is 1194709394. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Shaheen Iqbal located?

Shaheen Iqbal practices at 12821 Oak Hill Ave, Hagerstown, MD 21742. The listed phone number is (301) 733-0300.

What is Shaheen Iqbal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Shaheen Iqbal enrolled in Medicare?

Yes. Shaheen 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 Shaheen Iqbal affiliated with any hospitals?

According to CMS data, Shaheen Iqbal is affiliated with Meritus Medical Center and Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Shaheen Iqbal was last updated on May 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.