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ABID IQBAL M.D.
NPI 1356653224
Internal Medicine - Pulmonary Disease in Houston, TX

Active since July 08, 2010PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
10837 KATY FWY STE 250, HOUSTON, TX 77079(713) 464-8099(713) 465-1921 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 8, 2021, Jun 21, 2019 (2 updates tracked since 2019).

About Abid Iqbal M.d. NPPES

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

ABID IQBAL M.D. (NPI 1356653224) is an individual pulmonary disease provider in Houston, Texas, licensed in Texas (Q8728) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and maintains a secondary practice location in Stamford.

NPPES Registry Identity

NPI1356653224
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameABID IQBALCredential: M.D.
Location Address10837 KATY FWY STE 250Houston, TX 77079-2205
Mailing Address10837 Katy Fwy, Ste 250Houston, TX 77079-2205 · (713) 464-8099 · Fax (713) 465-1921
Phone(713) 464-8099
Fax(713) 465-1921
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 8, 2010
Last NPPES UpdateMarch 8, 20212 updates tracked since enumeration
NPPES CertifiedMarch 8, 2021
✔ NPI 1356653224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TX · Q8728
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.

10837 KATY FWY STE 250, Houston, TX 77079
Open in Google Maps ↗

Secondary Practice Location 1

Location 130 Shelburne Rd, Stamford Hospital-Dept. of MedicineStamford, CT 06902-3628 · Phone (203) 276-7485 · Fax (203) 276-7368

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Abid 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 ID8921236712
PECOS Enrollment IDI20161109001212
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 10

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.

Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
990 services298 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
909 services334 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
602 services204 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.
482 services191 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.
286 services177 patients
Evaluation of use of breathing device 94664
The evaluation of a breathing device involves checking how effectively you're using it to manage your respiratory condition. It assesses the device's fit, your comfort, and your technique to ensure optimal results.
235 services144 patients

Hospital Affiliations CMS Care Compare 2

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Houston Methodist West Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670077
Location18500 Katy FreewayHouston, TX 77094 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77079 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Care Plan
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…
100%146 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 27

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
6 suppliers41 claims41 services$35.32 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
5 suppliers25 claims47 services$1.33 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
4 suppliers13 claims13 services$10.01 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
4 suppliers12 claims13 services$1.04 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers25 claims26 services$81.38 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers25 claims67 services$32.33 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 9

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

MS. TINA M. SANKEY AGACNP-BC
Nurse Practitioner (Acute Care)
10837 KATY FWY STE 250
HOUSTON, TX 77079
Harris County (713) 464-8099
PRISCILLA GAMBOA AGACNP
Nurse Practitioner (Acute Care)
10837 KATY FWY STE 250
HOUSTON, TX 77079
Harris County (713) 464-8099
JESSICA HELEN KOLESAR
Nurse Practitioner (Acute Care)
10837 KATY FWY STE 250
HOUSTON, TX 77079
Harris County (713) 464-8099
HUAN SI HUYNH MS, APRN, AGACNP-BC
Nurse Practitioner (Acute Care)
10837 KATY FWY STE 250
HOUSTON, TX 77079
Harris County (713) 464-8099
MR. CLINTON HAROLD CORALES MSN, ACNP-BC
Nurse Practitioner (Acute Care)
10837 KATY FWY STE 250
HOUSTON, TX 77079
Harris County (713) 464-8099
JAZMIN SIERRA KINSEY AGACNP-BC
Internal Medicine (Critical Care Medicine)
10837 KATY FWY STE 250
HOUSTON, TX 77079
Harris County (713) 464-8099
AFSHEEN MASOOD NP
Nurse Practitioner (Acute Care)
10837 KATY FWY STE 250
HOUSTON, TX 77079
Harris County (713) 464-8099
RENE RICHTER APRN-CNP
Nurse Practitioner (Acute Care)
10837 KATY FWY STE 250
HOUSTON, TX 77079
Harris County (713) 464-8099

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 Abid Iqbal's NPI number?

The NPI number for Abid Iqbal is 1356653224. It was assigned to this individual provider in the NPPES registry on July 8, 2010.

Where is Abid Iqbal located?

Abid Iqbal practices at 10837 Katy Fwy Ste 250, Houston, TX 77079. The listed phone number is (713) 464-8099.

What is Abid Iqbal's specialty?

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

Is Abid Iqbal enrolled in Medicare?

Yes. Abid 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 Abid Iqbal accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Abid 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 Abid Iqbal affiliated with any hospitals?

According to CMS data, Abid Iqbal is affiliated with Houston Methodist Hospital and Houston Methodist West Hospital.

When was this NPI record last updated?

The NPPES record for Abid Iqbal was last updated on March 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.