Individual provider Active NPI

Inamulhaque M Saboor, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1891867859
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
239768 Issued in NY
Practice address
486 McDonald Ave
Brooklyn, NY 11218-3812
Phone
(718) 247-7226
Fax
(718) 558-0290
NPI assigned
Nov 14, 2006
Last updated
Apr 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 239768 NY Primary

Addresses

Primary practice location

486 McDonald Ave
Brooklyn, NY 11218-3812

Mailing address

8605 Santiago St
Hollis, NY 11423-1117
Phone (718) 558-0280

Other identifiers 1

IdentifierTypeStateIssuer
02880091MedicaidNY

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
I20070402000226 NY Practitioner - Internal MedicinePractitioner - General Practice 0941304968 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Highland Valley Medical Care PLLCGroup PAC ID 5890237358, 4 clinicians

Practice addresses (Care Compare)

369 Middle Country Rd
Coram, NY 11727-3734

486 McDonald Ave
Brooklyn, NY 11218-3812
Phone (718) 247-7226

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saboor Waizun Medical PC CurrentSince May 4, 2016 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Highland Valley Medical Care PLLC CurrentSince May 10, 2024 Accepting new patients
Evergreen Medical Care PLLC CurrentSince Sep 1, 2025 Accepting new patients
Munibur Medical, LLC PastSince Aug 11, 2015 Accepting new patients

Locations

486 McDonald Ave
Brooklyn, NY 11218
Phone (201) 878-2619

369 Middle Country Rd
Ste 1
Coram, NY 11727
Phone (631) 413-4765

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: inamulhaquesaboor@mai.allscriptsdirect.net
  • Direct secure messaging: isaboor@swmpc.adaptamed.direct-ci.com
  • Direct secure messaging: isaboor@swmpcj.adaptamed.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1891867859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 SANTIAGO ST",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114231117",
            "telephone_number": "718-558-0280",
            "fax_number": "718-558-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183812",
            "telephone_number": "718-247-7226",
            "fax_number": "718-558-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABOOR",
        "first_name": "INAMULHAQUE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "239768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02880091",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.