Individual provider Active NPI

Sardar Zakariya Imam, M.D.

  • Hematology & Oncology Physician
  • Farmington, NM
National Provider Identifier
1962799775
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD2014-0182 Issued in NM
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

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, CO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20141021000435 NM Practitioner - Internal MedicinePractitioner - Hematology/Oncology 2668693482 Reassigns benefits to 1 organization
I20210630000279 CO Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2668693482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Baylor College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Juan Oncology Associates PC 3 clinicians

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 Hospital, Farmington, NM, CCN 320005
  • Mercy Regional Medical Center Hospital, Durango, CO, CCN 060013

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
98.28
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Oncology Associates, PC Hematology & Oncology CurrentSince Jul 25, 2021 Accepting new patients

Locations

1305 Escalante Dr
Ste 102103
Durango, CO 81303
Phone (505) 564-6850

Interoperability endpoints

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.