Khursheed Imam, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

0101234814 Issued in VA

Practice address

1906 Belleview Ave
Roanoke, VA 24014-1838

Phone

(540) 981-7083

Fax

(540) 981-8260

NPI assigned

Apr 6, 2006

Last updated

Jun 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA, AL, OH, MO, AZ, PA, IL, GA, NJ, CA, WA11 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 11

Specialty

Diagnostic Radiology

Education

Yale University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carilion Rockbridge Community HospitalGroup PAC ID 4789658261, 104 clinicians

Reono Bertagnolli a Medical GroupGroup PAC ID 6800709783, 47 clinicians

Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians

Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians

Community Mobile Ultrasound LLCGroup PAC ID 4183761893, 16 clinicians

Image Guided Pain Management, P.C.Group PAC ID 8729269048, 4 clinicians

Carilion Tazewell Community HospitalGroup PAC ID 4183604259, 76 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
• Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042
• Carilion Franklin Memorial Hospital Hospital, Rocky Mount, VA, CCN 490089
• Carilion Stonewall Jackson Hospital Hospital, Lexington, VA, CCN 491304
• Carilion Giles Community Hospital Hospital, Pearisburg, VA, CCN 491302

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 28)

Interoperability endpoints

• Direct secure messaging: kimam@direct.carene.org
• Direct secure messaging: kimam1220@direct.carilionclinic.org

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.

• Carilion Giles Community Hospital

  • Critical Access Hospital
  • Pearisburg, VA
  • NPI 1194718304
  Medicare reassignment Care Compare group NPD
• Carilion Healthcare Corporation

  dba Bridgewater College Student Health Center

  • Multi-Specialty Clinic/Center
  • Roanoke, VA
  • NPI 1447206370
  Medicare reassignment Care Compare group NPD
• Carilion Medical Center

  • Multi-Specialty Clinic/Center
  • Roanoke, VA
  • NPI 1730123472
  Medicare reassignment Care Compare group NPD
• Carilion Rockbridge Community Hospital

  • Multi-Specialty Clinic/Center
  • Lexington, VA
  • NPI 1174636021
  Medicare reassignment Care Compare group NPD
• Carilion Tazewell Community Hospital

  • General Acute Care Hospital
  • Tazewell, VA
  • NPI 1427040328
  Medicare reassignment Care Compare group NPD
• Image Guided Pain Management, P.C.

  dba RAYUS Radiology

  • Diagnostic Radiology Physician
  • Roanoke, VA
  • NPI 1831404284
  Medicare reassignment Care Compare group NPD
• Community Mobile Ultrasound, LLC

  dba TridentCare

  • Diagnostic Ultrasound Physician
  • Oceanside, CA
  • NPI 1760620959

  VA

  Medicare reassignment Care Compare group
• Reono Bertagnolli a Medical Group

  dba Rely Radiology Group of California

  • Diagnostic Radiology Physician
  • San Leandro, CA
  • NPI 1134424005

  AL, GA, IL, MO, NJ, OH, PA, VA, WA

  Medicare reassignment Care Compare group
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Diagnostic Ultrasound Physician
  • Phoenix, AZ
  • NPI 1992017529
  Medicare reassignment NPD
• Community Mobile Diagnostics LLC

  dba Tridentcare

  • Diagnostic Radiology Physician
  • San Leandro, CA
  • NPI 1023104007

  VA

  Medicare reassignment
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • North Hollywood, CA
  • NPI 1750364345

  NJ

  Medicare reassignment
• Kan-Di-Ki, LLC

  dba Diagnostic Laboratories

  • Diagnostic Ultrasound Physician
  • North Hollywood, CA
  • NPI 1548422488

  AL

  Medicare reassignment

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

• Carilion Franklin Memorial Hospital

  • General Acute Care Hospital
  • Rocky Mount, VA
  • NPI 1710970918
  Care Compare affiliation
• Carilion Giles Community Hospital

  • Hospitalist Physician
  • Pearisburg, VA
  • NPI 1023663267
  Care Compare affiliation
• Carilion Giles Community Hospital

  • Emergency Medicine Physician
  • Pearisburg, VA
  • NPI 1164076634

  Hospital

  Care Compare affiliation
• Carilion Giles Community Hospital

  • Critical Access Hospital
  • Pearisburg, VA
  • NPI 1194718304
  Care Compare affiliation
• Carilion Giles Community Hospital

  • Multi-Specialty Clinic/Center
  • Pearisburg, VA
  • NPI 1346894813

  Hospital

  Care Compare affiliation
• Carilion Medical Center

  dba Carilion Roanoke Memorial Hospital

  • General Acute Care Hospital
  • Roanoke, VA
  • NPI 1033102942
  Care Compare affiliation
• Carilion New River Valley Medical Center

  • General Acute Care Hospital
  • Christiansburg, VA
  • NPI 1376536573
  Care Compare affiliation
• Carilion Rockbridge Community Hospital

  • Hospitalist Physician
  • Lexington, VA
  • NPI 1023663002
  Care Compare affiliation
• Carilion Rockbridge Community Hospital

  • Critical Access Hospital
  • Lexington, VA
  • NPI 1518950484
  Care Compare affiliation
• Carilion Rockbridge Community Hospital

  • Multi-Specialty Clinic/Center
  • Lexington, VA
  • NPI 1750936977

  Hospital

  Care Compare affiliation
• Carilion Rockbridge Community Hospital

  • Emergency Medicine Physician
  • Lexington, VA
  • NPI 1942854427

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1508828195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141838",
            "telephone_number": "540-981-7083",
            "fax_number": "540-981-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAM",
        "first_name": "KHURSHEED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101234814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimam1220@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "kimam1220@direct.carilionclinic.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1906 Belleview Ave SE",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240141838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Obafemi Ayoola Ifelowo, MD
• Ignite Wellness Clinic PLLC
• Emeka Ikeakanam, DO
• Image Guided Pain Management, P.C. (RAYUS Radiology)
• Image Guided Therapeutics, PC
• Naiyer Imam, MD
• Imperial Hearing, LLC
• Individualized Counseling of Roanoke LLC
• Individualized Counseling PLC
• Indy Health Labs LLC

• Diagnostic Radiology Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Diagnostic Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.