Iman Abdallah Tamimi, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2019-01377 Issued in NC

Practice address

11516 Providence Rd
Charlotte, NC 28277-2691

Phone

(704) 667-0370

NPI assigned

Jun 15, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Emergency Medicine

Education

University of Alabama School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ballantyne Emergency Physicians PLLCGroup PAC ID 8123459898, 23 clinicians

Atrium Health North Market Network LLCGroup PAC ID 1557743440, 158 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atrium Health Pineville Hospital, Charlotte, NC, CCN 340098

Merit-based Incentive Payment System (MIPS)

Final score

94 of 100Reported as apm

Quality

81.63

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

84.15 of 100Reported as group

Quality

81.36

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: itamimi536725@carolinashealthcaresystem.direct-ci.com
• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Atrium Health North Market Network LLC

  • Family Medicine Physician
  • Mooresville, NC
  • NPI 1871112920

  Emergency Medicine, NC

  Medicare reassignment Care Compare group NPD
• Ballantyne Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Charlotte, NC
  • NPI 1164052726

  Emergency Medicine, NC

  Medicare reassignment Care Compare group NPD
• Emergency Medicine Physicians of Mecklenburg County, PLLC

  • Emergency Medicine Physician
  • Charlotte, NC
  • NPI 1912232182

  Emergency Medicine, NC

  Medicare reassignment NPD
• Stallings Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Matthews, NC
  • NPI 1235728031

  Emergency Medicine, NC

  Medicare reassignment NPD
• The Carolinas Emergency Group, PLLC

  • Emergency Medicine Physician
  • Dunn, NC
  • NPI 1477508836

  Emergency Medicine, NC

  Medicare reassignment NPD
• Wake Forest Emergency Providers

  • Multi-Specialty Clinic/Center
  • Statesville, NC
  • NPI 1396216735

  NC

  Medicare reassignment NPD
• Wellcomemd NC Clinic PLLC

  • Internal Medicine Physician
  • Mooresville, NC
  • NPI 1013525278

  NC

  Medicare reassignment NPD
• Ballantyne Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Charlotte, NC
  • NPI 1437939691

  Emergency Medicine

  NPD

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

• The Charlotte-Mecklenburg Hospital Authority

  • General Acute Care Hospital
  • Charlotte, NC
  • NPI 1417432840

  Hospital

  Care Compare affiliation
• The Charlotte-Mecklenburg Hospital Authority

  • Rehabilitation Hospital Unit
  • Charlotte, NC
  • NPI 1962987131

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1124478680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S KINGS DRIVE STE F",
            "address_2": "#130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "980-890-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11516 PROVIDENCE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772691",
            "telephone_number": "704-667-0370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 E 36th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282062018",
            "country_code": "US",
            "telephone_number": "704-801-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMIMI",
        "first_name": "IMAN",
        "middle_name": "ABDALLAH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2019-01377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martu Tennih Tamba, NP
• Alfreda Gbieh Tambue, AGACNP-BC
• Brooke Tamburello
• Tameka N. Attaway, D.D.S., P.L.L.C.
• Omkar Tamhankar, MD
• Tammy H. Hawks O.D.
• Semira Tamrat
• Antoinette Roslyn Tan, MD
• Ehrlich Cu Tan, MD
• Kristen Tan, CRNA

• All providers in Charlotte, NC
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.