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

Q: 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.

Q: What is Altamash Iftikhar's specialty?

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

Q: 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 20 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.

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: October 18, 2026.

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

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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 113540 Walsingham RdLargo, FL 33774-3546 · Phone (727) 593-5492 · Fax (727) 593-5440

Location 26500 38th Ave NSt Petersburg, FL 33710-1629 · Phone (727) 341-4819

Accepted Insurance

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Altamash Iftikhar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Froedtert South, Inc.

5.5 mi

Family Medicine

6308 8TH AVE
Kenosha, WI 53143

Reassigned Medicare billing, Wisconsin enrollment
212 clinicians in this Medicare group

NPI 1558305284 (262) 656-2718

Largo Physician Group, LLC

1,013 mi

Pediatrics

11373 CORTEZ BLVD STE 408
Brooksville, FL 34613

Reassigned Medicare billing, Florida enrollment
13 clinicians in this Medicare group

NPI 1578732889 (352) 592-7310

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

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.

Which organizations bill Medicare for Altamash Iftikhar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Altamash Iftikhar reassigns Medicare benefits to 2 organizations: Froedtert South, Inc. (Kenosha, WI) and Largo Physician Group, LLC (Brooksville, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Altamash Iftikhar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Altamash Iftikhar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, 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 20 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.