NPIMap

Individual provider Active NPI

Hafiz Muhammad Imran, MD

  • Interventional Cardiology Physician
  • Providence, RI
National Provider Identifier
1962705590
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD14325 Issued in RI
Practice address
164 Summit Ave
Providence, RI 02906-2853
Phone
(401) 793-4489
NPI assigned
Dec 21, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD14325 RI
Interventional Cardiology Physician 207RI0011X MD14325 RI Primary

Addresses

Primary practice location

164 Summit Ave
Providence, RI 02906-2853

Mailing address

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-4489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240626000399 MA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1153558218 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hampden and Franklin County Cardiovascular Associates PCGroup PAC ID 9032153986, 20 clinicians

Practice addresses (Care Compare)

22 Atwood Dr
Suite 301
Northampton, MA 01060-4267
Phone (413) 570-4900

50 Maple St
Springfield, MA 01103-1979
Phone 4137486484202

Hospital & facility affiliations

  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077
  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015
  • Baystate Franklin Medical Center Hospital, Greenfield, MA, CCN 220016
  • Baystate Noble Hospital Hospital, Westfield, MA, CCN 220065
  • Baystate Wing Hospital Hospital, Palmer, MA, CCN 220030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14325RIMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Western Massachusetts Inc Internal Medicine CurrentSince Sep 4, 2024 Accepting new patients
Hampden & Franklin County Cardiovascular Associates, PC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Baystate Medical Center Inc Past Accepting new patients

Locations

146 Federal St
Greenfield, MA 01301
Phone (413) 774-2222

596 South St
Holyoke, MA 01040
Phone (413) 534-1800

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

22 Atwood Dr
Ste 301
Northampton, MA 01060
Phone (413) 570-4900

141 King St
Northampton, MA 01060
Phone (413) 570-9505

50 Maple St
Springfield, MA 01103
Phone (413) 748-6484

300 Stafford St
Ste 262
Springfield, MA 01104
Phone (413) 732-3109

65 Springfield Rd
Ste 1
Westfield, MA 01085
Phone (413) 642-8052

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBFADA

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1962705590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 SUMMIT AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062853",
            "telephone_number": "401-793-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 SUMMIT AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062853",
            "telephone_number": "401-793-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMRAN",
        "first_name": "HAFIZ",
        "middle_name": "MUHAMMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-21",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD14325",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "RI",
            "license": "MD14325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.