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MR. IMTIAZ HAROON MEMON PA
NPI 1003168824
Physician Assistant in St Petersburg, FL

Active since October 03, 2012PECOS EnrolledAccepts Medicare Assignment
6000 49TH ST N, ST. PETERSBURG, ST PETERSBURG, FL 33709(727) 521-5510 Get Directions Write a Review

NPPES record last updated: September 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Imtiaz Haroon Memon Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. IMTIAZ HAROON MEMON PA (NPI 1003168824) is an individual physician assistant in St Petersburg, Florida, licensed in Florida (PA9106741) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1003168824
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. IMTIAZ HAROON MEMONCredential: PA
Location Address6000 49TH ST N, ST. PETERSBURGSt Petersburg, FL 33709-2114
Mailing Address1209 Canyon Oaks DrBrandon, FL 33510-2173 · (561) 798-3164
Phone(727) 521-5510
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 3, 2012
Last NPPES UpdateSeptember 2, 2014
✔ NPI 1003168824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9106741
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6000 49TH ST N, St Petersburg, FL 33709
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Imtiaz Haroon Memon Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951554948
PECOS Enrollment IDI20121221000383
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
92 services92 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
88 services60 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
44 services37 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636
This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.
42 services42 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services11 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33709 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANTONINO INSANA M.D.
Emergency Medicine
6000 49TH ST N
ST PETERSBURG, FL 33709
Pinellas County (727) 521-5510
KAREEM ELGENDI
Student in an Organized Health Care Education/Training Program
6000 49TH ST N
ST PETERSBURG, FL 33709
Pinellas County (727) 521-5093
GULNAR SAMREEN MEMON PA
Physician Assistant
6000 49TH ST N
ST PETERSBURG, FL 33709
Pinellas County (727) 521-5510
DR. CHRIS N. KYRUS M.D.
Emergency Medicine
6000 49TH ST N
ST PETERSBURG, FL 33709
Pinellas County (727) 521-5044
DR. ALIA CELESTE SOMMERVILLE D.O., MSC.
Internal Medicine
6000 49TH ST N, NORTHSIDE HOSPITAL
ST PETERSBURG, FL 33709
Pinellas County (727) 521-5057
DR. DAVID ABRAHAM DO
Student in an Organized Health Care Education/Training Program
6000 49TH ST N
ST PETERSBURG, FL 33709
Pinellas County (727) 528-3025
SHREYASH N PANDYA MD
Pathology (Anatomic Pathology & Clinical Pathology)
6000 49TH ST N
ST PETERSBURG, FL 33709
Pinellas County (727) 521-5066
EHRA MEDICAL SERVICES OF FLORIDA LLC
Emergency Medicine
6000 49TH ST N
ST PETERSBURG, FL 33709
Pinellas County (727) 521-4411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imtiaz Memon's NPI number?

The NPI number for Imtiaz Memon is 1003168824. It was assigned to this individual provider in the NPPES registry on October 3, 2012.

Where is Imtiaz Memon located?

Imtiaz Memon practices at 6000 49th St N St. Petersburg, St Petersburg, FL 33709. The listed phone number is (727) 521-5510.

What is Imtiaz Memon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Imtiaz Memon enrolled in Medicare?

Yes. Imtiaz Memon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Imtiaz Memon was last updated on September 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.