Imam Mohammed Imam, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R72801 Issued in AZ

Practice address

990 E River Rd
Apt # 108
Tucson, AZ 85718-5669

Phone

(312) 927-0357

NPI assigned

Apr 29, 2013

Last updated

Apr 29, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, CA2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Naz Hospitalists IncGroup PAC ID 5294627816, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Naz Hospitalists Inc

  dba NAZ Hospitalists PC

  • Hospitalist Physician
  • Prescott, AZ
  • NPI 1437137072
  Medicare reassignment Care Compare group NPD
• Cogent Healthcare of Arizona PC

  • Internal Medicine Physician
  • Sierra Vista, AZ
  • NPI 1568758266
  Medicare reassignment NPD
• Desert Group Services, PC

  • Hospitalist Physician
  • Joshua Tree, CA
  • NPI 1891240602
  Medicare reassignment
• White Feather Physicians PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Joshua Tree, CA
  • NPI 1710595392
  Medicare reassignment
• Yavapai Community Hospital Association

  dba Yavapai Regional Medical Center

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820
  NPD (past)

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

• Yavapai Community Hospital Association

  dba Yavapai Regional Medical Center

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820
  Care Compare affiliation

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1346685781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 E RIVER RD",
            "address_2": "APT # 108",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185669",
            "telephone_number": "312-927-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 E RIVER RD",
            "address_2": "APT # 108",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185669",
            "telephone_number": "312-927-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAM",
        "first_name": "IMAM",
        "middle_name": "MOHAMMED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R72801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ike B. Gorman DPM., PC
• Barbara Sue Ikner
• Adena R Iles, RDN
• Illuminated Hearts LLC
• Benjamin Aaron Brown Imagire, D.C.
• Immaculate Adult Care Home LLC
• Immediatelabs, LLC
• Immune Recovery and Wellness PC
• Impact Medical Group
• Marissa R Imperial

• Internal Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.