Mohammed Waseem Imam, D.O.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

R5274 Issued in TX

Practice address

4120 N Collins St Ste 100
Arlington, TX 76005-4553

Phone

(817) 678-5575

NPI assigned

Mar 27, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Allergy/Immunology

Education

Lincoln Memorial University Medical Department, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cure Allergy Clinic, PLLCGroup PAC ID 3274960372, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21056/brand/1/csg/1/fhir/r4
• Direct secure messaging: mohammed.imam.1@21056.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cure Allergy Clinic, PLLC

  • Allergy Physician
  • Arlington, TX
  • NPI 1598395477
  Medicare reassignment Care Compare group NPD Authorized official
• Coral Springs Physician Services, LLC

  • Hospitalist Physician
  • Coral Springs, FL
  • NPI 1134673767
  Medicare reassignment NPD
• Fort Lauderdale Physician Services, LLC

  • Hospitalist Physician
  • Fort Lauderdale, FL
  • NPI 1497209027
  Medicare reassignment NPD
• MD Now Medical Centers Inc

  • Urgent Care Clinic/Center
  • West Palm Beach, FL
  • NPI 1033195474
  Medicare reassignment NPD
• MD Now Medical Centers Inc

  • Urgent Care Clinic/Center
  • Pembroke Pines, FL
  • NPI 1265107361
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1003159104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 N COLLINS ST STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760054553",
            "telephone_number": "817-678-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 N COLLINS ST STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760054553",
            "telephone_number": "817-678-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAM",
        "first_name": "MOHAMMED",
        "middle_name": "WASEEM",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "R5274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "1003159104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgiana Ikeneme
• Ikids Pediatric Dentistry Arlington
• Ikids Pediatric Dentistry Viridian, PLLC
• Jessika Iloff
• Imaging & Medical Diagnostic Specialists, P.a.
• Quazi M Imam, MD
• Immaculate Medical Supplies, Inc.
• Immanuel Brain, Spine and Nerve Surgery, PA
• In Balance in Control, L.L.C.
• In His Hands Midwifery PLLC

• Allergy & Immunology Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.