NPIMap

Individual provider Active NPI

Imran Plumb, M.D.

  • Internal Medicine Physician
  • Durant, OK
National Provider Identifier
1275827305
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30916 Issued in OK
Practice address
1400 Bryan Dr
Suite 208
Durant, OK 74701-2156
Phone
(580) 931-2256
NPI assigned
Jun 7, 2011
Last updated
Sep 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 30916 OK Primary

Addresses

Primary practice location

1400 Bryan Dr
Suite 208
Durant, OK 74701-2156

Mailing address

1400 Bryan Dr
Suite 208
Durant, OK 74701-2156
Phone (580) 931-2256

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address imran.plumb.2@4696.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150202001697 OK Practitioner - Internal Medicine 9032434659 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marshall County Hma, LLCGroup PAC ID 5193985653, 11 clinicians

Practice addresses (Care Compare)

1610 W University Blvd
Durant, OK 74701-3096
Phone (580) 924-3400

907 Hospital Dr
Madill, OK 73446-5508
Phone (580) 795-0191

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall County Hma, LLC CurrentSince Jul 1, 2020 Accepting new patients
Durant Hma Physician Management, LLC Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
Lakeside Family Medicine CurrentSince Apr 24, 2021 Accepting new patients
Marshall County Hma LLC Current Accepting new patients
Marshall County Hma, LLC CurrentSince Jul 1, 2020 Accepting new patients
OB/GYN Associates of Durant Past Accepting new patients
Durant Four Seasons Operating Co., LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients
Colbert Nursing Home Inc. Past Accepting new patients
Marshall County Hma, LLC Past Accepting new patients
Calera Manor LLC Past Accepting new patients
Marshall County Hma LLC Past Accepting new patients
Durant Oak Operating Co., LLC Past Accepting new patients
Durant Hma LLC Past Accepting new patients
Lakeside Family Medicine Past Accepting new patients
Heart to Heart Hospice of Southeast Oklahoma, LLC PastSince Apr 10, 2024 Accepting new patients
Heart and Medical Center Inc Internal Medicine PastSince Nov 1, 1997 Accepting new patients
Marshall County Hma LLC Past Accepting new patients

Locations

1400 Bryan Dr
Ste 208
Durant, OK 74701
Phone (580) 920-9063

1400 Bryan Dr
Ste 301
Durant, OK 74701
Phone (580) 920-0105

1610 W University Blvd
Durant, OK 74701
Phone (580) 924-3400

1610 W University Blvd
Fl First
Durant, OK 74701

907 Hospital Dr
Madill, OK 73446
Phone (580) 795-0191

Interoperability endpoints

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

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Calera ManorCalera, OK, CCN 375519 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2023
Dec 1, 2023
Four Seasons Rehabilitation & CareDurant, OK, CCN 375238 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 18, 2023
Sep 18, 2023
Oakridge Nursing CenterDurant, OK, CCN 375360 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 18, 2023
Sep 18, 2023
Heart to Heart Hospice of Southeast Oklahoma, LLCDurant, OK, CCN 371746 Hospice Contracted Managing Employee Apr 10, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1275827305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR",
            "address_2": "SUITE 208",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012156",
            "telephone_number": "580-931-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR",
            "address_2": "SUITE 208",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012156",
            "telephone_number": "580-931-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMB",
        "first_name": "IMRAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "30916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imran.plumb.2@4696.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1610 W University Blvd",
            "city": "Durant",
            "state": "OK",
            "country_code": "US",
            "postal_code": "747013096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.