MOHAMMED IMRAN RIAZ GHARE MD
NPI 1104386010
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since March 25, 2019PECOS Enrolled
20 YORK ST, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mohammed Imran Riaz Ghare Md NPPES

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

MOHAMMED IMRAN RIAZ GHARE MD (NPI 1104386010) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104386010
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMOHAMMED IMRAN RIAZ GHARECredential: MD
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address75 Francis StBoston, MA 02115-6110
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateJune 13, 2022
NPPES CertifiedJune 13, 2022
NPI 1104386010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
20 YORK ST, New Haven, CT 06510

Secondary Practice Location 1

Location 175 Francis StBoston, MA 02115-6110 · Phone (617) 732-5500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mohammed Imran Riaz Ghare Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537661277
PECOS Enrollment IDI20250903003171
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.

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.

Nurse Practitioner (Family)
20 YORK ST
NEW HAVEN, CT 06510
Pediatrics (Neonatal-Perinatal Medicine)
20 YORK ST, DEPT OF NEONATOLOGY
NEW HAVEN, CT 06510
Durable Medical Equipment & Medical Supplies (Customized Equipment)
20 YORK ST
NEW HAVEN, CT 06510
Dietitian, Registered
20 YORK ST, FOOD AND NUTRITION EPB806
NEW HAVEN, CT 06510
Hospitalist
20 YORK ST
NEW HAVEN, CT 06510
Psychiatry & Neurology (Neurology)
20 YORK ST
NEW HAVEN, CT 06510
Internal Medicine (Nephrology)
20 YORK ST
NEW HAVEN, CT 06510
Obstetrics & Gynecology
20 YORK ST
NEW HAVEN, CT 06510

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 Mohammed Ghare's NPI number?

The NPI number for Mohammed Ghare is 1104386010. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Mohammed Ghare located?

Mohammed Ghare practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Mohammed Ghare's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mohammed Ghare enrolled in Medicare?

Yes. Mohammed Ghare is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohammed Ghare was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.