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DR. ALTAMASH TARIQ IFTIKHAR D.O.
NPI 1821431859
Family Medicine - Sports Medicine in Kenosha, WI

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment
9697 SAINT CATHERINES DR, KENOSHA, WI 53158(262) 577-8320(262) 577-8372 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2022, Jul 16, 2018, Mar 17, 2018 (3 updates tracked since 2018).

About Dr. Altamash Tariq Iftikhar D.o. NPPES

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

DR. ALTAMASH TARIQ IFTIKHAR D.O. (NPI 1821431859) is an individual sports medicine provider in Kenosha, Wisconsin, licensed in Wisconsin (81755) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821431859
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. ALTAMASH TARIQ IFTIKHARCredential: D.O.
Location Address9697 SAINT CATHERINES DRKenosha, WI 53158-2118
Mailing Address6308 8th Ave Ste 105Kenosha, WI 53143-5031 · (262) 577-8320 · Fax (262) 577-8372
Phone(262) 577-8320
Fax(262) 577-8372
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2013
Enumeration DateApril 9, 2013
Last NPPES UpdateJanuary 29, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2025
✔ NPI 1821431859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Licenses✔ Licensed in WI · 81755✔ Licensed in FL · OS12908
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 81755 (WI), OS12908 (FL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9697 SAINT CATHERINES DR, Kenosha, WI 53158
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Secondary Practice Locations 2

Location 16500 38th Ave NSt Petersburg, FL 33710-1629 · Phone (727) 341-4819
Location 213540 Walsingham RdLargo, FL 33774-3546 · Phone (727) 593-5492 · Fax (727) 593-5440

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.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

Dr. Altamash Tariq Iftikhar D.o. 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 ID7810206307
PECOS Enrollment IDI20250220002934
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.

Hospital Affiliations CMS Care Compare

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 10

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

MEGAN LEE PA-C
Physician Assistant
9697 SAINT CATHERINES DR
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 656-3590
LARONDA JAMES NURSE PRACTITIONER
Nurse Practitioner
9697 SAINT CATHERINES DR
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 656-3338
MHD ANAS ALSAWAF MBBS, MD
Orthopaedic Surgery
9697 SAINT CATHERINES DR, STE 200
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 656-3590
DR. NICHOLAS CAIN PT, DPT
Physical Therapist (Sports)
9697 SAINT CATHERINES DR
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 577-8141
MICHELLE LOUISE GAUTHIER DO
Family Medicine
9697 SAINT CATHERINES DR
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 577-8320
ABDUL SAMI KHAN MD
Internal Medicine (Gastroenterology)
9697 SAINT CATHERINES DR
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 653-5330
PAIN CENTERS OF WISCONSIN - KENOSHA, LLC
Clinic/Center (Ambulatory Surgical)
9697 SAINT CATHERINES DR, STE 102
PLEASANT PRAIRIE, WI 53158
Kenosha County (414) 325-7246
DR. ALAN P. GEGENHEIMER D.O.
Orthopaedic Surgery
9697 SAINT CATHERINES DR, SUITE 200
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 656-3590

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 Altamash Iftikhar's NPI number?

The NPI number for Altamash Iftikhar is 1821431859. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Altamash Iftikhar located?

Altamash Iftikhar practices at 9697 Saint Catherines Dr, Kenosha, WI 53158. The listed phone number is (262) 577-8320.

What is Altamash Iftikhar's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Altamash Iftikhar enrolled in Medicare?

Yes. Altamash Iftikhar 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 Altamash Iftikhar accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Altamash Iftikhar 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 Altamash Iftikhar affiliated with any hospitals?

According to CMS data, Altamash Iftikhar is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Altamash Iftikhar was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.