Individual provider Active NPI

Saba Imani, DO

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1043848880
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2023-00512 Issued in NC
Practice address
1942 E 7TH St Ste 200
Charlotte, NC 28204-2418
Phone
(704) 384-7085
Fax
(704) 384-7089
NPI assigned
Mar 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7320 OK
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X 7320 OK
Internal Medicine Physician 207R00000X 2023-00512 NC Primary

Addresses

Primary practice location

1942 E 7TH St Ste 200
Charlotte, NC 28204-2418

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

4444 E 41st St
Tulsa, OK 74135-2527
Phone (918) 619-4400

Other practice location 2

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2362

Other practice location 3

1918 Randolph Rd Ste 350
Charlotte, NC 28207-1111
Phone (704) 384-1750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230828001728 NC Practitioner - Internal Medicine 5991168726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

1942 E 7TH St
Suite 200
Charlotte, NC 28204-2418
Phone (704) 338-4708

Hospital & facility affiliations

  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Novant Health Mint Hill Medical Center Hospital, Charlotte, NC, CCN 340190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7320OKMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
The Presbyterian Hospital Internal Medicine Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Apr 19, 2024 Accepting new patients
Novant Health Medical Group, LLC Internal Medicine CurrentSince Apr 19, 2024 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
The Presbyterian Hospital Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Novant Health Medical Group, LLC Internal Medicine Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

1942 E 7th St
Ste 200
Charlotte, NC 28204
Phone (704) 338-4708

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

1918 Randolph Rd
Charlotte, NC 28207
Phone (704) 342-8000

1918 Randolph Rd
Ste 350
Charlotte, NC 28207
Phone (704) 384-1750

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: simani1160148@direct.novanthealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1043848880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 E 7TH ST STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042418",
            "telephone_number": "704-384-7085",
            "fax_number": "704-384-7089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4444 E 41st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741352527",
            "country_code": "US",
            "telephone_number": "918-619-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1923 S Utica Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741046520",
            "country_code": "US",
            "telephone_number": "918-744-2362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1918 Randolph Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071111",
            "country_code": "US",
            "telephone_number": "704-384-1750",
            "fax_number": "704-384-1720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMANI",
        "first_name": "SABA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-28",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "7320",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OK",
            "license": "7320",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2023-00512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.