Active NPI
Iman Chamas, PA-C
- Physician Assistant
- Owosso, MI
National Provider Identifier
1821544081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601007905
- Practice address
- 200 Health Park Dr
Owosso, MI 48867-1291 - Phone
- (989) 723-8666
- NPI assigned
- Aug 28, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MC4600816 | AZ | |
| Physician Assistant | 363A00000X | 5601007905 | MI | Primary |
Addresses
Primary practice location
200 Health Park Dr
Owosso, MI 48867-1291
Mailing address
200 Health Park Dr
Owosso, MI 48867-1291
Phone (989) 723-8666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6800 E 10 Mile Rd
Center Line, MI 48015-1167
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601007905 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercare Community Health Network | Current | Accepting new patients | |
| Intercare Community Health Network | Current | Accepting new patients | |
| Associates in Primary Care, PLC | Current | Accepting new patients | |
| Sun Life Family Health Center, Inc. | Past | Accepting new patients | |
| Sun Life Family Health Center, Inc. | Past | Accepting new patients |
Locations
50 Industrial Park Rd
Bangor, MI 49013
Phone (269) 427-7937
800 M 139
Benton Harbor, MI 49022
Phone (269) 927-5400
650 E Big Beaver Rd
Ste A
Troy, MI 48083
Phone (248) 663-4401
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Troy, MI
- NPI 1356127062
-
- Geriatric Medicine (Internal Medicine) Physician
- Plymouth, MI
- NPI 1053142000
-
- Urgent Care Clinic/Center
- Flushing, MI
- NPI 1780930016
-
- Federally Qualified Health Center (FQHC)
- Bangor, MI
- NPI 1326058512
-
- Geriatric Medicine (Internal Medicine) Physician
- Westminster, MD
- NPI 1770301277
MI
-
- Federally Qualified Health Center (FQHC)
- Eau Claire, MI
- NPI 1336701119
-
- Federally Qualified Health Center (FQHC)
- Benton Harbor, MI
- NPI 1902235328
-
- Federally Qualified Health Center (FQHC)
- Mesa, AZ
- NPI 1508276940
-
- Federally Qualified Health Center (FQHC)
- Florence, AZ
- NPI 1902278252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1821544081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HEALTH PARK DR",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488671291",
"telephone_number": "989-723-8666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HEALTH PARK DR",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488671291",
"telephone_number": "989-723-8666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMAS",
"first_name": "IMAN",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "MC4600816",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601007905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owosso, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.