Individual provider Active NPI

Nabia Shirin Ikram

  • Diagnostic Radiology Physician
  • San Francisco, CA
National Provider Identifier
1528201324
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A130504 Issued in CA
Practice address
505 Parnassus Avenue, Moffitt Room M 396, Box 0628
University of California San Francisco
San Francisco, CA 94132-2217
Phone
(415) 353-1905
Fax
(415) 353-1796
NPI assigned
Apr 9, 2009
Last updated
Jun 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A130504 CA Primary

Addresses

Primary practice location

505 Parnassus Avenue, Moffitt Room M 396, Box 0628
University of California San Francisco
San Francisco, CA 94132-2217

Mailing address

810 Gonzalez Dr Apt Me
San Francisco, CA 94132-2217
Phone (740) 534-3230

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20150917001688 NY Practitioner - Diagnostic Radiology 0446475859 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chenango Memorial Hospital IncGroup PAC ID 7517853633, 108 clinicians
Delaware Valley Hospital Inc.Group PAC ID 2860388337, shared by 3 NPIs, 46 clinicians
Park Avenue Associates in Radiology PCGroup PAC ID 3971582594, 5 clinicians

Practice addresses (Care Compare)

10 -24 Mitchell Ave
Binghamton, NY 13903-1617
Phone (607) 762-3131

1302 E Main St
Endicott, NY 13760-5430
Phone (607) 754-2323

179 N Broad St
Norwich, NY 13815-1019
Phone (607) 337-4111

2 Titus PL
Walton, NY 13856-1455
Phone (607) 865-2400

30 Harrison St
Suite 102
Johnson City, NY 13790-2185
Phone (607) 729-7084

33 -57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 865-2100

4417 Vestal Pkwy E
Vestal, NY 13850-3556
Phone (607) 770-7365

4433 Vestal Pkwy E
Vestal, NY 13850-3556
Phone (607) 771-2220

54 Main St
Candor, NY 13743-1619
Phone (607) 659-7272

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.41 of 100Reported as group
Quality
90.71
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
86.74
Promoting interoperability
99
Improvement activities
40
Cost
70.09

Merit-based Incentive Payment System (MIPS)

Final score
93.4 of 100Reported as group
Quality
86.36
Promoting interoperability
99
Improvement activities
40
Cost
79.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
130504CAMDClinical Social Worker
A130504CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Valley Hospital, Inc CurrentSince Aug 1, 2021 Accepting new patients
Delaware Valley Hospital, Inc Current Accepting new patients
Chenango Memorial Hospital Inc CurrentSince May 10, 2022 Accepting new patients
Chenango Memorial Hospital, Inc. CurrentSince May 10, 2022 Accepting new patients
Park Avenue Associates in Radiology PC Diagnostic Radiology CurrentSince Sep 1, 2017 Accepting new patients
Chenango Memorial Hospital Inc Current Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Jun 1, 2021 Accepting new patients
United Medical Associates PC Past Accepting new patients

Locations

30 Harrison St
Ste 102
Johnson City, NY 13790
Phone (607) 729-7082

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

1 Titus Pl
Walton, NY 13856
Phone (607) 337-4700

2 Titus Pl
Walton, NY 13856
Phone (607) 865-2197

2 Titus Pl
#13202
Walton, NY 13856
Phone (607) 865-2197

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1528201324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 GONZALEZ DR APT ME",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941322217",
            "telephone_number": "740-534-3230",
            "fax_number": "415-988-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVENUE, MOFFITT ROOM M 396, BOX 0628",
            "address_2": "UNIVERSITY OF CALIFORNIA SAN FRANCISCO",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941322217",
            "telephone_number": "415-353-1905",
            "fax_number": "415-353-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKRAM",
        "first_name": "NABIA",
        "middle_name": "SHIRIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A130504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.