Active NPI
Abul F Imam, MD
- Hospitalist Physician
- Thomasville, NC
National Provider Identifier
1851363881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 9500953
- Practice address
- 207 Old Lexington Rd
Thomasville, NC 27360-3428 - Phone
- (336) 474-3444
- Fax
- (336) 277-9183
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9500953 | NC | |
| Family Medicine Physician | 207Q00000X | 9500953 | NC | |
| Hospitalist Physician | 208M00000X | 9500953 | NC | Primary |
Addresses
Primary practice location
207 Old Lexington Rd
Thomasville, NC 27360-3428
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 474-3444
Other practice location 1
903 Randolph St
Thomasville, NC 27360-5898
Phone (336) 475-7163
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8945239 | Medicaid | NC |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ahossainimam5401@direct.novanthealth.org | ||
| Direct Messaging Address | AHOSSAINIMAM5401@DIRECT.NOVANTHEALTH.ORG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9500953 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group North Carolina | Hospitalist | Current | Accepting new patients |
Locations
566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1851363881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "336-474-3444",
"fax_number": "336-277-9183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 OLD LEXINGTON RD",
"city": "THOMASVILLE",
"state": "NC",
"postal_code": "273603428",
"telephone_number": "336-474-3444",
"fax_number": "336-277-9183"
}
],
"practiceLocations": [
{
"address_1": "903 Randolph St",
"address_purpose": "LOCATION",
"city": "Thomasville",
"state": "NC",
"postal_code": "273605898",
"country_code": "US",
"telephone_number": "336-475-7163",
"fax_number": "336-475-1199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IMAM",
"first_name": "ABUL",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "9500953",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "9500953",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "9500953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8945239",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ahossainimam5401@direct.novanthealth.org",
"affiliation": "N",
"address_1": "903 Randolph St",
"city": "Thomasville",
"state": "NC",
"country_code": "US",
"postal_code": "273605898",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "AHOSSAINIMAM5401@DIRECT.NOVANTHEALTH.ORG",
"affiliation": "N",
"address_1": "207 Old Lexington Rd",
"city": "Thomasville",
"state": "NC",
"country_code": "US",
"postal_code": "273603428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Thomasville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.