Active NPI
Sardar Zakariya Imam, M.D.
- Hematology & Oncology Physician
- Farmington, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD2014-0182
- Practice address
- 2325 E 30TH St
Farmington, NM 87401-8900 - Phone
- (505) 564-6850
- Fax
- (505) 564-6890
- NPI assigned
- Jun 30, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD2014-0182 | NM | Primary |
Addresses
Primary practice location
2325 E 30TH St
Farmington, NM 87401-8900
Mailing address
2325 E 30TH St
Farmington, NM 87401-8900
Phone (505) 564-6850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141021000435 | NM | Practitioner - Internal Medicine | 2668693482 | Reassigns benefits to 1 organization |
| I20210630000279 | CO | Practitioner - Hematology/Oncology | 2668693482 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Baylor College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- San Juan Oncology Associates PC
Practice addresses (Care Compare)
1305 Escalante Dr
Suite 102And103
Durango, CO 81303-8931
Phone (505) 564-6850
2325 E 30TH St
Farmington, NM 87401-8900
Phone (505) 564-6850
Hospital & facility affiliations
- San Juan Regional Medical Center Inc
- Mercy Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 98.28
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Oncology Associates, PC | Hematology & Oncology | Current | Accepting new patients |
Locations
1305 Escalante Dr
Ste 102103
Durango, CO 81303
Phone (505) 564-6850
Interoperability endpoints
- sardar.imam@sjonc.ikm.direct-ci.com
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Farmington, NM
- NPI 1558446187
CO, NM
-
- Hematology & Oncology Physician
- Durango, CO
- NPI 1144893249
Hematology & Oncology
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Farmington, NM
- NPI 1326663592
Hospital
-
- General Acute Care Hospital
- Farmington, NM
- NPI 1427058510
Hospital
-
- General Acute Care Hospital
- Durango, CO
- NPI 1083611644
Hospital
-
- General Acute Care Hospital
- Durango, CO
- NPI 1588204010
Hospital
-
- General Acute Care Hospital
- Durango, CO
- NPI 1679113104
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1962799775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325 E 30TH ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874018900",
"telephone_number": "505-564-6850",
"fax_number": "505-564-6890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 E 30TH ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874018900",
"telephone_number": "505-564-6850",
"fax_number": "505-564-6890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMAM",
"first_name": "SARDAR",
"middle_name": "ZAKARIYA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-30",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NM",
"license": "MD2014-0182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.