Active NPI
Mohammad Khalequz Zaman, MD
- Psychiatry Physician
- Cranston, RI
National Provider Identifier
1467464495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD 10099
- Practice address
- 105 Sockanosset Rd
Suite # 322
Cranston, RI 02920 - Phone
- (401) 946-8400
- Fax
- (401) 944-7219
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD 10099 | RI | Primary |
Addresses
Primary practice location
105 Sockanosset Rd
Suite # 322
Cranston, RI 02920
Mailing address
95 Meshanticut Valley Pkwy
Cranston, RI 02920-3929
Phone (401) 946-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080520000298 | RI | Practitioner - Psychiatry | 6103995980 | Practice locations: Cranston, RI |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3 Lockmere Rd
Cranston, RI 02910-5116
Phone (401) 946-8400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 10099 | RI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467464495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 MESHANTICUT VALLEY PKWY",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029203929",
"telephone_number": "401-946-8400",
"fax_number": "401-944-7219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 SOCKANOSSET RD",
"address_2": "SUITE # 322",
"city": "CRANSTON",
"state": "RI",
"postal_code": "02920",
"telephone_number": "401-946-8400",
"fax_number": "401-944-7219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMAN",
"first_name": "MOHAMMAD",
"middle_name": "KHALEQUZ",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "RI",
"license": "MD 10099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.