Irfan Mamoun, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4301038517 Issued in MI

Practice address

36175 Harper Ave
Clinton Township, MI 48035-3274

Phone

(586) 741-3772

NPI assigned

Dec 4, 2008

Last updated

Apr 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, MI, FL3 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 3

Specialty

Diagnostic RadiologyAlso: Interventional Radiology

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Josephs Diagnostic Center LLCGroup PAC ID 3779484928, 89 clinicians

Radiology Imaging Associates LLCGroup PAC ID 2466342803, 182 clinicians

Baycare Outpatient Imaging LLCGroup PAC ID 3577804087, 90 clinicians

Stern Drake Isbell and Associates PAGroup PAC ID 3779480835, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Josephs Hospital Hospital, Tampa, FL, CCN 100075
• South Florida Baptist Hospital Hospital, Plant City, FL, CCN 100132

Merit-based Incentive Payment System (MIPS)

Final score

71.5 of 100Reported as group

Quality

66.47

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

99.99 of 100Reported as group

Quality

100

Improvement activities

40

Cost

79.08

Merit-based Incentive Payment System (MIPS)

Final score

87.68 of 100Reported as group

Quality

85.5

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Baycare Outpatient Imaging LLC

  • Diagnostic Radiology Physician
  • Valrico, FL
  • NPI 1417423377
  Medicare reassignment Care Compare group NPD
• Radiology Imaging Associates, LLC

  • Diagnostic Radiology Physician
  • Daytona Beach, FL
  • NPI 1063400729
  Medicare reassignment Care Compare group NPD
• St Josephs Diagnostic Center LLC

  dba BayCare Outpatient Imaging

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1558342998
  Medicare reassignment Care Compare group NPD
• Stern, Drake, Isbell & Associates, PA

  dba SDI Diagnostic Imaging

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1215903398
  Medicare reassignment Care Compare group NPD
• Columbus Radiology Corp

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1669408159
  Medicare reassignment NPD
• Mercy Health Physicians Youngstown Specialty Care LLC

  • Surgery Physician
  • Youngstown, OH
  • NPI 1649892225
  Medicare reassignment NPD
• Baycare Outpatient Imaging LLC

  • Diagnostic Radiology Physician
  • Wesley Chapel, FL
  • NPI 1235898529
  NPD
• Baycare Outpatient Imaging LLC

  • Diagnostic Radiology Physician
  • Plant City, FL
  • NPI 1376238642
  NPD
• Columbus Radiology Corp

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1497287197
  NPD
• Mercy Health Physicians Youngstown Specialty Care LLC

  dba MHPY SPC - Howland Imaging

  • Diagnostic Radiology Physician
  • Warren, OH
  • NPI 1255009601
  NPD
• Mercy Health Physicians Youngstown Specialty Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Boardman, OH
  • NPI 1386316107
  NPD
• St Joseph's Diagnostic Center LLC

  dba BayCare Outpatient Imaging

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1821527474
  NPD

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

• South Florida Baptist Hospital Inc

  dba South Florida Baptist Hospital

  • General Acute Care Hospital
  • Plant City, FL
  • NPI 1548205883
  Care Compare affiliation
• St. Joseph's Hospital, Inc.

  dba St. Joseph's Women's Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816
  Care Compare affiliation
• St. Joseph's Hospital, Inc.

  dba St. Joseph's Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818
  Care Compare affiliation

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1861637811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22550 BARD AVE",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262907",
            "telephone_number": "440-378-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36175 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353274",
            "telephone_number": "586-741-3772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 W Dr Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076307",
            "country_code": "US",
            "telephone_number": "813-348-6915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAMOUN",
        "first_name": "IRFAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-04",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME141698",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301038517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "4301038517",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Izabela Jadwiga Malewicz
• Michelle Mallino, SLP-CFY
• Mikayla Anne Mallory
• Maja Maloney, PA-C
• Katherine Maltester
• Manaf Seid-Arabi, M.D. P.C.
• Christine Rose Mandich, MALLP
• Kathleen Patricia Mandley, LLMSW
• Mangini Dermatopathology PLLC
• Keirston Marie Mann, RBT

• Diagnostic Radiology Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.