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MR. KENNY IMAN P.A.C.
NPI 1295801173
Specialist in Salisbury, MD

Active since November 24, 2006PECOS EnrolledAccepts Medicare Assignment
73.65/100
CMS Quality Rating
111 DAVIS ST, SALISBURY, MD 21804(410) 749-4154 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kenny Iman P.a.c. NPPES

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

MR. KENNY IMAN P.A.C. (NPI 1295801173) is an individual specialist in Salisbury, Maryland, licensed in Maryland (C0003072) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1295801173
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. KENNY IMANCredential: P.A.C.
Location Address111 DAVIS STSalisbury, MD 21804-5032
Mailing Address4014 Oakland School RdSalisbury, MD 21804-2715 · (410) 726-1576
Phone(410) 749-4154
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 24, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1295801173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MD · C0003072
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedEmergency MedicineTaxonomy 207P00000X · License C50000664 (DE)
111 DAVIS ST, Salisbury, MD 21804
Open in Google Maps ↗

Other Identifiers 3

OtherC0003072MD · P.a. License
Other1066952MD · Certification P.a.c.
OtherPA60330MD · License Controlled Substa

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. Kenny Iman P.a.c. 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 ID1355396466
PECOS Enrollment IDI20050322000054
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 9

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.

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.
447 services410 patients
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.
272 services272 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
127 services62 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
93 services90 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
83 services81 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.
28 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality35.6
Promoting Interoperability99
Improvement Activities40
Cost73.57

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 Kenny Iman's NPI number?

The NPI number for Kenny Iman is 1295801173. It was assigned to this individual provider in the NPPES registry on November 24, 2006.

Where is Kenny Iman located?

Kenny Iman practices at 111 Davis St, Salisbury, MD 21804. The listed phone number is (410) 749-4154.

What is Kenny Iman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kenny Iman enrolled in Medicare?

Yes. Kenny Iman 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.

Is Kenny Iman affiliated with any hospitals?

According to CMS data, Kenny Iman is affiliated with Tidalhealth Peninsula Regional, Inc.

When was this NPI record last updated?

The NPPES record for Kenny Iman was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.