TANBEENA IMAM M.D.
NPI 1134489651
Pediatrics - Pediatric Gastroenterology in Kalamazoo, MI

Q: What is Tanbeena Imam's NPI number?

The NPI number for Tanbeena Imam is 1134489651. It was assigned to this individual provider in the NPPES registry on May 17, 2012.

Q: What is Tanbeena Imam's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Tanbeena Imam was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 17, 2012PECOS Enrolled

601 JOHN ST STE M-351, KALAMAZOO, MI 49007(269) 341-7784 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2020, Aug 14, 2018 (2 updates tracked since 2018).

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About Tanbeena Imam M.d. NPPES

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

TANBEENA IMAM M.D. (NPI 1134489651) is an individual pediatric gastroenterology provider in Kalamazoo, Michigan, licensed in Michigan (4301116025) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1134489651

Entity TypeIndividualFemale

Primary Taxonomy2080P0206X

Provider Legal NameTANBEENA IMAMCredential: M.D.

Location Address601 JOHN ST STE M-351Kalamazoo, MI 49007-5358

Mailing Address601 John St Ste M-351Kalamazoo, MI 49007-5358 · (269) 341-7784

Phone(269) 341-7784

Sole ProprietorNo

Enumeration DateMay 17, 2012

Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2020

✔ NPI 1134489651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

License✔ Licensed in MI · 4301116025

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedPediatricsTaxonomy 208000000X · License 4301116025 (MI)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

601 JOHN ST STE M-351, Kalamazoo, MI 49007

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Secondary Practice Location 1

Location 1705 Riley Hospital Dr, ROC 4210Indianapolis, IN 46202-5109 · Phone (317) 944-3774

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanbeena Imam M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49007 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

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 8

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

KERRY STORMS M.D.

Pediatrics