Organization Active NPI

Imran Ata MD PLLC

  • Cardiovascular Disease Physician
  • Tucson, AZ
National Provider Identifier
1407343841
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
IMRAN ATA MD PLLC
Practice address
3925 E Fort Lowell Rd Ste 105
Tucson, AZ 85712
Phone
(520) 229-0085
NPI assigned
Apr 20, 2018
Last updated
May 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Imran Ata, MDNPI 1366557563
Title
Owner
Phone
(520) 229-0085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

3925 E Fort Lowell Rd Ste 105
Tucson, AZ 85712

Mailing address

PO Box 43160
Tucson, AZ 85733-3160
Phone (520) 722-3777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180522002606 AZ Part B Supplier - Clinic/Group Practice 7810252830 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

3925 E Fort Lowell Rd
Ste 105
Tucson, AZ 85712
Phone (520) 229-0085

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1407343841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333160",
            "telephone_number": "520-722-3777",
            "fax_number": "520-296-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 E FORT LOWELL RD STE 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-229-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMRAN ATA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "ATA",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-229-0085",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.