Individual provider Active NPI

Sameera Naureen Imtiaz

  • Physician Assistant
  • Silver Spring, MD
National Provider Identifier
1174047625
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0006482 Issued in MD
Practice address
11120 New Hampshire Ave
Silver Spring, MD 20904-2633
Phone
(301) 681-7237
NPI assigned
Jul 26, 2017
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X 028307 NY
Physician Assistant 363A00000X PA66604 CA
Physician Assistant 363A00000X C0006482 MD Primary
Medical Physician Assistant 363AM0700X C0006482 MD

Addresses

Primary practice location

11120 New Hampshire Ave
Silver Spring, MD 20904-2633

Mailing address

11120 New Hampshire Ave
Silver Spring, MD 20904-2633
Phone (301) 681-7237

Other practice location 1

156 William St Rm 303
New York, NY 10038-5307
Phone (888) 803-3770

Other practice location 2

331 1st St. Ste A
San Francisco, CA 94105
Phone (888) 803-3370

Other practice location 3

7001 Johnnycake Rd
Windsor Mill, MD 21244-2418
Phone (410) 744-5437

Other practice location 4

1 Research Ct Ste 450
Rockville, MD 20850-6252
Phone (888) 803-3370

Other practice location 5

1235 E Monument St
Baltimore, MD 21202-5327
Phone (410) 327-5100

Other practice location 6

415 N Crescent Dr Ste 320
Beverly Hills, CA 90210-6813
Phone (888) 803-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NY, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20201222000478 DC Practitioner - Physician Assistant 4284046152 Reassigns benefits to 1 organization
I20250306000528 NY Practitioner - Physician Assistant 4284046152 Reassigns benefits to 1 organization
I20251103003482 CA Practitioner - Physician Assistant 4284046152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

333 1St St
Suite a
San Francisco, CA 94105-3060

440 Franklin St
Suite 300
Bloomfield, NJ 07003-4378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
66604CAMDDental Assistant
PA66604CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Medical Care of California CurrentSince Jul 18, 2025 Accepting new patients
Circle Medical Care Group PA CurrentSince Jul 21, 2025 Accepting new patients
Children First, LLC PastSince Nov 8, 2025 Accepting new patients
Children First, LLC Past Accepting new patients

Locations

415 N Crescent Dr
Ste 320
Beverly Hills, CA 90210
Phone (415) 510-2755

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

1 Research Ct
Ste 450
Rockville, MD 20850
Phone (240) 403-4068

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJIJAA/Endpoint/DJIJAA

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1174047625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042633",
            "telephone_number": "301-681-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042633",
            "telephone_number": "301-681-7237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 William St Rm 303",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100385307",
            "country_code": "US",
            "telephone_number": "888-803-3770",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "331 1st St. Ste A",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94105",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7001 Johnnycake Rd",
            "address_purpose": "LOCATION",
            "city": "Windsor Mill",
            "state": "MD",
            "postal_code": "212442418",
            "country_code": "US",
            "telephone_number": "410-744-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Research Ct Ste 450",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208506252",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1235 E Monument St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212025327",
            "country_code": "US",
            "telephone_number": "410-327-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 N Crescent Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902106813",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMTIAZ",
        "first_name": "SAMEERA",
        "middle_name": "NAUREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "028307",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66604",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006482",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0006482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.