NPIMap

Individual provider Active NPI

Emran Riaz Imami, M.D.

  • Surgery Physician
  • Melbourne, FL
National Provider Identifier
1215901848
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME56101 Issued in FL
Practice address
1140 Broadband Dr
Melbourne, FL 32901-2623
Phone
(321) 733-1901
Fax
(321) 733-0211
NPI assigned
Feb 13, 2006
Last updated
Feb 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME56101 FL Primary

Addresses

Primary practice location

1140 Broadband Dr
Melbourne, FL 32901-2623

Mailing address

PO Box 33428
Indialantic, FL 32903-0428
Phone (321) 733-1901

Other identifiers 1

IdentifierTypeStateIssuer
370625700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050201000148 FL Practitioner - General Surgery 2567412257 Reassigns benefits to 2 organizations
I20260505000756 GA Practitioner - General SurgeryPractitioner - Undersea and Hyperbaric Medicine 2567412257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of South Florida College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bsa LLCGroup PAC ID 5496705188, 2 clinicians
The Emran Parveen and Son's Breast Center, LLCGroup PAC ID 1951441278, 3 clinicians
Meadows Multispecialty Associates LLCGroup PAC ID 6002223484, 28 clinicians

Practice addresses (Care Compare)

1140 Broadband Dr
Melbourne, FL 32901-2609
Phone (321) 733-1901

1140 Broadband Dr
Melbourne, FL 32901-2623
Phone (321) 312-4178

1811 Edwina Dr
Vidalia, GA 30474-8963
Phone (912) 538-8105

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as group
Quality
100
Improvement activities
40
Cost
59.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Mastectomy21
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal29
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emran Parveen and Son's Breast Center, LLC CurrentSince Jun 1, 2009 Accepting new patients
Tepashealthcare Current Accepting new patients
Bsa LLC Surgery CurrentSince Sep 1, 2004 Accepting new patients
DRH Medical Group Past Accepting new patients

Locations

1140 Broadband Dr
Melbourne, FL 32901
Phone (321) 312-4178

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: eimami71537@epicdirect.hf.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/EAGFAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EAGFAA/Endpoint/EAGFAA

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.

Hospital & facility affiliations 6

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1215901848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33428",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329030428",
            "telephone_number": "321-733-1901",
            "fax_number": "321-733-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BROADBAND DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012623",
            "telephone_number": "321-733-1901",
            "fax_number": "321-733-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAMI",
        "first_name": "EMRAN",
        "middle_name": "RIAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME56101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370625700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.