DR. ALTAMASH TARIQ IFTIKHAR (D.O.) – Family Medicine Physician, NPI 1821431859

DR. ALTAMASH TARIQ IFTIKHAR (D.O.) is a healthcare provider. based in St petersburg, Florida. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials D.O.. They hold a License No. 81755 (WI). The NPI Number for DR. ALTAMASH TARIQ IFTIKHAR (D.O.) is 1821431859

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALTAMASH TARIQ IFTIKHAR (D.O.)
NPI
1821431859
Phone
(727) 341-4819
Address
6500 38TH AVE N
Enumeration Date
9 April 2013
Last Update Date
29 January 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2626563590
Graduation Year
2013 (13 years ago)
PAC ID
7810206307
Group Practice PAC ID
9537071196
Professional Enrollment ID
I20250220002934
Address ID
WI531582118PL9697XDRXX400

Contacts

Secure Messaging
ALTAMASH.IFTIKHAR@hca4.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:13State licenses:2Other namesUpdated within 12 months

6,754 FAMILY PRACTICE in FL

Provider Addresses for DR. ALTAMASH TARIQ IFTIKHAR (D.O.)

  • 6500 38TH AVE N

    ST PETERSBURG, FL 337101629

    Phone: (727) 341-4819

    Type: Location

  • 13540 WALSINGHAM RD

    LARGO, FL 33774

    Phone: (727) 593-5492

    Fax: (727) 593-5440

    Type: Location

  • 6500 38th Ave N

    St Petersburg, FL 337101629

    Phone: (727) 341-4819

    Type: Location

  • 13540 Walsingham Rd

    Largo, FL 337743546

    Phone: (727) 593-5492

    Fax: (727) 593-5440

    Type: Location

  • 6308 8TH AVE STE 105

    KENOSHA, WI 531435031

    Phone: (262) 577-8320

    Fax: (262) 577-8372

    Type: Mailing

  • 9697 SAINT CATHERINES DR

    KENOSHA, WI 531582118

    Phone: (262) 577-8320

    Fax: (262) 577-8372

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-20

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151023001060IFamily PracticeFLTBD
I20250220002934ISports MedicineWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33710)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537071196View full group profile
NameSpecialtyState
E N D O C R I N O L O G YWI
Hospitalist, Family PracticeWI
Diagnostic RadiologyWI
-WI
Nurse PractitionerWI
Neurology, Psychiatry, Psychiatry, NeurologyIL
Nurse PractitionerWI
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YWI
Pulmonary DiseaseWI

Reviews

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Frequently asked questions

What is the standard ID for DR. ALTAMASH TARIQ IFTIKHAR (D.O.) in the U.S.?
In the U.S., DR. ALTAMASH TARIQ IFTIKHAR (D.O.) is identified by NPI 1821431859.
Should I treat DR. ALTAMASH TARIQ IFTIKHAR (D.O.) as an active provider?
Patients and plans typically see DR. ALTAMASH TARIQ IFTIKHAR (D.O.) as active in the national extract.
What does the directory say DR. ALTAMASH TARIQ IFTIKHAR (D.O.) does?
Insurance directories may phrase it differently, but here DR. ALTAMASH TARIQ IFTIKHAR (D.O.) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ALTAMASH TARIQ IFTIKHAR (D.O.)?
DR. ALTAMASH TARIQ IFTIKHAR (D.O.) is associated with St Petersburg, Florida in the same public data insurers reference.
Who maintains DR. ALTAMASH TARIQ IFTIKHAR (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.