Active NPI
Fatima Memon, M.D.
- Neuroradiology Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 103328
- Practice address
- 20 York St
New Haven, CT 06510-3220 - Phone
- (203) 688-1010
- NPI assigned
- Aug 31, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 245415 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | 062413 | CT | |
| Neuroradiology Physician | 2085N0700X | 103328 | GA | Primary |
| Neuroradiology Physician | 2085N0700X | 4301103992 | MI |
Addresses
Primary practice location
20 York St
New Haven, CT 06510-3220
Mailing address
1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 712-4596
Other practice location 1
3601 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 898-6091
Other practice location 2
1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 712-4596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000
Hospital & facility affiliations
- Grady Memorial Hospital
- Emory University Hospital
- Emory University Hospital Midtown
- Saint Joseph'S Hospital of Atlanta, Inc
- Emory Decatur Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.13 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 63.77
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 062413 | CT | MD | Diagnostic Radiology Physician |
| 245415 | MA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Diagnostic Radiology | Current | Accepting new patients |
| The Emory Clinic Inc | Diagnostic Radiology | Current | Accepting new patients |
| Emory Specialty Associates, LLC | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Surgery | Current | Accepting new patients |
| Carolina Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Musc Community Physicians | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Neuroradiology | Current | Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
1 Poston Rd
Ste 350
Charleston, SC 29407
805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
Interoperability endpoints
- fmemon1073129@direct.emory.org
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
Diagnostic Radiology, NC
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
Neuroradiology
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1144203563
-
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1588640692
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1770560294
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1992799050
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1679664395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1760798565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1364 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221059",
"telephone_number": "404-712-4596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-1010"
}
],
"practiceLocations": [
{
"address_1": "3601 W 13 Mile Rd",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "48073",
"country_code": "US",
"telephone_number": "248-898-6091",
"fax_number": "248-898-2496",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1364 Clifton Rd NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303221059",
"country_code": "US",
"telephone_number": "404-712-4596",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEMON",
"first_name": "FATIMA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-31",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "245415",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "062413",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "GA",
"license": "103328",
"primary": true
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "MI",
"license": "4301103992",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.