Altamash Tariq Iftikhar, D.O.
NPI 1821431859ActiveIndividual· Family Medicine, Sports Medicine· Kenosha, WI
Family Medicine, Sports Medicine (D.O.) in Kenosha, Wisconsin, trained at Michigan State University College of Osteopathic Medicine (class of 2013). Enrolled in Medicare as practitioner - family practice and practitioner - sports medicine.
Overview
| NPI | 1821431859 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Apr 9, 2013 |
| Last updated in NPPES | Jan 29, 2025 |
| Certified by provider | Jan 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Sports Medicine Primary | 207QS0010X | 81755 | WI |
| Family Medicine | 207Q00000X | 81755 | WI |
| Family Medicine | 207Q00000X | OS12908 | FL |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
| Family Medicine, Sports Medicine | 207QS0010X | OS12908 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (FL); Practitioner - Sports Medicine (WI) |
|---|
Education and affiliations
| Medical school | Michigan State University College of Osteopathic Medicine |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | Sports Medicine |
| Secondary specialties | Family Practice |
Medical group
- Froedtert South IncKenosha, WI · 161 clinicians
Hospital affiliation
- Froedtert South Inc.Kenosha, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Family Medicine, Sports Medicine providers in Kenosha
- 1093332389
- 1255607057