Hassan Imam, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N0119 Issued in TX

Practice address

3535 Tripp Ave
Amarillo, TX 79121-1636

Phone

(806) 212-2000

NPI assigned

Nov 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Family Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medstar Urgent Care PLLCGroup PAC ID 9032424874, 2 clinicians

Medstar Family Care PLLCGroup PAC ID 5496008724, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Plano Hospital, Plano, TX, CCN 450651

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Medstar Family Care PLLC

  • Family Medicine Physician
  • Murphy, TX
  • NPI 1740768142
  Medicare reassignment Care Compare group NPD Authorized official
• Medstar Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Murphy, TX
  • NPI 1386021269
  Medicare reassignment Care Compare group NPD
• Ashafi Health Associates PLLC

  • Family Medicine Physician
  • Murphy, TX
  • NPI 1285349985
  NPD
• Quality Medical Provider PC

  • Family Medicine Physician
  • Floral Park, NY
  • NPI 1023186442
  NPD (past)

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

• Columbia Medical Center of Plano Subsidiary LP

  dba Medical City Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1699726406
  Care Compare affiliation

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1376614487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WALLACE BLVD",
            "address_2": "ATTN: CREDENTIALING DEPT",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061708",
            "telephone_number": "806-354-5585",
            "fax_number": "806-356-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 TRIPP AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211636",
            "telephone_number": "806-212-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAM",
        "first_name": "HASSAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-11",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "240742",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N0119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Ibarra, RBT
• Jorge I Ibarra, LPC-A
• Mary Taylor Ibarra, AGACNP-BC
• Dennis A Ice, MD
• Ahmad Imam, M.D.
• Immunity Access LLC
• In Motion on-Site Rehab Services LLC
• In Power Physical Therapy LLC
• Carolyn Ince, COTA
• Incredibilis Solutions LLC

• Family Medicine Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.