Jahan Imani, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

260615 Issued in UT

Practice address

5315 Adams Ave Pkwy
Ste a
Washington Terrace, UT 84405-4766

Phone

(801) 475-0399

Fax

(801) 475-7322

NPI assigned

Aug 11, 2005

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 UT

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

Specialty

NeurologyAlso: Pain Management

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jahan Imani MD PCGroup PAC ID 4284616509, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ogden Regional Medical Center Hospital, Ogden, UT, CCN 460005
• Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jahan.imani@1324.chartlogic.direct-ci.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.

• Jahan Imani MD PC

  • Specialist
  • Washington Terrace, UT
  • NPI 1366560484
  Medicare reassignment Care Compare group NPD Authorized official
• Intermountain Neurology

  • Internal Medicine Physician
  • Ogden, UT
  • NPI 1477540870
  NPD Authorized official
• Skyline Pain Clinic

  • Pain Medicine Physician
  • Ogden, UT
  • NPI 1053308452
  NPD (past) Authorized official

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

• Columbia Ogden Medical Center, Inc.

  dba Ogden Regional Medical Center

  • General Acute Care Hospital
  • Ogden, UT
  • NPI 1720031636
  Care Compare affiliation
• Ihc Health Services Inc

  dba Intermountain Health McKay-Dee Hospital

  • General Acute Care Hospital
  • Ogden, UT
  • NPI 1194749580
  Care Compare affiliation

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1063414969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9519",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844090519",
            "telephone_number": "801-475-0399",
            "fax_number": "801-475-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 ADAMS AVE PKWY",
            "address_2": "STE A",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "844054766",
            "telephone_number": "801-475-0399",
            "fax_number": "801-475-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMANI",
        "first_name": "JAHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "260615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91749924027",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Great Basin Spine and Sports
• Megan Griffin
• Jared Merrill Haslam, DDS
• Hopeful Minds
• Jamal Horani, MD
• Natalie Catherine Iverson, M.S. CCC-SLP
• Monique Marie Jackman
• Jahan Imani MD PC
• Rachel Allison Johnson, TRT
• David Garrett Jones, PA-C

• Internal Medicine Physician in Washington Terrace, UT
• Providers in Washington Terrace, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.