NPIMap

Individual provider Active NPI

Imran Nazeer, M.D.

  • Specialist
  • Lufkin, TX
National Provider Identifier
1477582039
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K0954 Issued in TX
Practice address
409 Gaslight Blvd
Suite 303
Lufkin, TX 75904-3132
Phone
(936) 634-2227
Fax
(936) 634-4658
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X K0954 TX Primary

Addresses

Primary practice location

409 Gaslight Blvd
Suite 303
Lufkin, TX 75904-3132

Mailing address

PO Box 150408
Lufkin, TX 75915-0408
Phone (936) 634-2227

Other identifiers 1

IdentifierTypeStateIssuer
0041AHOtherTXMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050518000898 TX Practitioner - NephrologyPractitioner - Internal Medicine 8527009653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
E T Nephrology Associates PAGroup PAC ID 7416904180, 5 clinicians

Practice addresses (Care Compare)

409 Gaslight Blvd
Lufkin, TX 75904-3158
Phone (936) 634-2227

Hospital & facility affiliations

  • aQua Dialysis Lufkin LLC Dialysis facility, Lufkin, TX, CCN 452639
  • aQua Dialysis Livingston Dialysis facility, Livingston, TX, CCN 452661
  • I Dialysis, LLC Dialysis facility, Nacogdoches, TX, CCN 672883
  • CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211
  • Woodland Heights Medical Center Hospital, Lufkin, TX, CCN 450484
  • CHI St Lukes Health Memorial San Augustine Hospital, San Augustine, TX, CCN 670783
  • CHI St Lukes Health Memorial Livingston Hospital, Livingston, TX, CCN 450395
  • Sabine County Hospital Hospital, Hemphill, TX, CCN 451361

Merit-based Incentive Payment System (MIPS)

Final score
97.33 of 100Reported as group
Quality
97.53
Promoting interoperability
96
Improvement activities
40
Cost
74.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K0954TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
E T Nephrology Associates PA CurrentSince Jul 3, 1990 Accepting new patients

Locations

409 Gaslight Blvd
Lufkin, TX 75904
Phone (936) 634-4422

700 S John Redditt Dr
Lufkin, TX 75904
Phone (409) 634-2227

409 Gaslight Blvd
Ste 303
Lufkin, TX 75904

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1477582039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150408",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759150408",
            "telephone_number": "936-634-2227",
            "fax_number": "936-634-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 GASLIGHT BLVD",
            "address_2": "SUITE 303",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043132",
            "telephone_number": "936-634-2227",
            "fax_number": "936-634-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZEER",
        "first_name": "IMRAN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K0954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0041AH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.