Active NPI
Imran Mohammed, MD
- Critical Care Medicine (Internal Medicine) Physician
- Roseville, CA
National Provider Identifier
1174625396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- A93443
- Practice address
- 5 Medical Plaza Dr Ste 190
Roseville, CA 95661-2867 - Phone
- (916) 679-3590
- Fax
- (916) 482-3647
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | A93443 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A93443 | CA | Primary |
Addresses
Primary practice location
5 Medical Plaza Dr Ste 190
Roseville, CA 95661-2867
Mailing address
1300 Ethan Way Ste 600
Sacramento, CA 95825-2296
Phone (169) 679-3513
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500605374 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5 Medical Plaza Dr
Suite 190
Roseville, CA 95661-2867
Phone (916) 679-3590
Hospital & facility affiliations
- Sutter Care at Home
- Sutter Roseville Medical Center
- Sutter Auburn Faith Hospital
- Sutter Solano Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.78 of 100
- Quality
- 90
- Promoting interoperability
- 100
- Improvement activities
- 30
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A93443 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Medicine Associates Sleep Lab Inc. | Pulmonary Disease | Current | Accepting new patients |
| Pulmonary Medicine Associates Medical Group, Inc | Critical Care Medicine | Current | Accepting new patients |
Locations
6403 Coyle Ave
Ste 450
Carmichael, CA 95608
Phone (916) 482-7621
5 Medical Plaza Dr
Ste 190
Roseville, CA 95661
Phone (916) 679-3590
1300 Ethan Way
Ste 600
Sacramento, CA 95825
Phone (916) 482-7623
Interoperability endpoints
- imohammed39534@hisp.ehr.sutterhealth.org
Organizations & group practices 2
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.
-
- Pulmonary Disease Physician
- Sacramento, CA
- NPI 1407880719
Critical Care Medicine
-
- Sleep Disorder Diagnostic Clinic/Center
- Sacramento, CA
- NPI 1255359378
Pulmonary Disease
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, CA
- NPI 1194774299
-
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
-
- General Acute Care Hospital
- Vallejo, CA
- NPI 1366686248
-
- Community Based Hospice Care Agency
- Roseville, CA
- NPI 1033144464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1174625396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 ETHAN WAY STE 600",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958252296",
"telephone_number": "169-679-3513",
"fax_number": "916-679-3563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MEDICAL PLAZA DR STE 190",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612867",
"telephone_number": "916-679-3590",
"fax_number": "916-482-3647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMMED",
"first_name": "IMRAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A93443",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A93443",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500605374",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.