Syed A Imam, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N5123 Issued in TX

Practice address

14131 Midway Rd
Suite 620
Addison, TX 75001-3623

Phone

(972) 249-0200

Fax

(972) 249-0206

NPI assigned

Sep 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Internal Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742
• Baylor Scott & White Emergency Hospital Hospital, Aubrey, TX, CCN 670062

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Cogent Healthcare of Texas, PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1992722953
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095
  Medicare reassignment NPD
• Healthtexas Provider Network

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583
  NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Flower Mound, TX
  • NPI 1427054402
  NPD
• Physicians Inc

  • Internal Medicine Physician
  • Lima, OH
  • NPI 1023031903
  NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Plano, TX
  • NPI 1003811639
  NPD (past)
• Lake Pointe Operating Company, LLC

  • General Acute Care Hospital
  • Rowlett, TX
  • NPI 1205018439
  NPD (past)
• In House Internists, Inc

  • Internal Medicine Physician
  • Lima, OH
  • NPI 1033312111
  NPD (past)
• In-House Internist LLC

  • Internal Medicine Physician
  • Lima, OH
  • NPI 1912096322
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Mercy Health Physicians Lima, LLC

  • Family Medicine Physician
  • Lima, OH
  • NPI 1225292865

  Internal Medicine

  NPD (past)

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

• CR Emergency Room LLC

  • General Acute Care Hospital
  • Aubrey, TX
  • NPI 1407010622
  Care Compare affiliation
• CR Emergency Room LLC

  • General Acute Care Hospital
  • Rockwall, TX
  • NPI 1407344880
  Care Compare affiliation
• CR Emergency Room, LLC

  • General Acute Care Hospital
  • Colleyville, TX
  • NPI 1043641749
  Care Compare affiliation
• CR Emergency Room, LLC

  • General Acute Care Hospital
  • Murphy, TX
  • NPI 1619308319
  Care Compare affiliation
• Ebd Bemc Burleson, LLC

  • General Acute Care Hospital
  • Keller, TX
  • NPI 1689002651
  Care Compare affiliation
• Lake Pointe Operating Company, LLC

  • General Acute Care Hospital
  • Rowlett, TX
  • NPI 1205018439
  Care Compare affiliation

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1235123316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14131 MIDWAY RD",
            "address_2": "SUITE 620",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013623",
            "telephone_number": "972-249-0200",
            "fax_number": "972-249-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14131 MIDWAY RD",
            "address_2": "SUITE 620",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013623",
            "telephone_number": "972-249-0200",
            "fax_number": "972-249-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAM",
        "first_name": "SYED",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "81240",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01048311 A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N5123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000233107",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2338929",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "simam225832@direct.sw.org",
            "affiliation": "N",
            "address_1": "6800 Scenic Dr Ste 1071",
            "city": "Rowlett",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750884552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hunter Physical Therapy, PLLC
• Emily Rose Hunter, OTR
• Elizabeth Michelle Hurley, OTR/L
• Kailine Hynes, MA, SLP-CCC
• Ideal Dental of Castle Hills PLLC
• Lori Impastato, M.C.D., CCC-SLP
• Amber Stament Ingram, MPT
• Lauren Ingram, COTA
• Innoveix Pharmaceuticals Inc.
• Inpatient Consultants of Texas, PLLC

• Internal Medicine Physician in Addison, TX
• Providers in Addison, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.