MUHAMMAD NUMAAN IMAM
NPI 1407571391
Nurse Practitioner - Psychiatric/Mental Health in Debary, FL

Active since October 04, 2022PECOS Enrolled
466 WOODFORD DR, DEBARY, FL 32713(813) 580-0163 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 5, 2024, Oct 12, 2023, Oct 4, 2022 (3 updates tracked since 2022).

About Muhammad Numaan Imam NPPES

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

MUHAMMAD NUMAAN IMAM (NPI 1407571391) is an individual psychiatric/mental health provider in Debary, Florida, licensed in Florida (11029167) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407571391
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMUHAMMAD NUMAAN IMAM
Location Address466 WOODFORD DRDebary, FL 32713-2145
Mailing Address466 Woodford DrDebary, FL 32713-2145 · (813) 580-0163
Sole ProprietorNo
Enumeration DateOctober 4, 2022
Last NPPES UpdateApril 5, 20243 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
✔ NPI 1407571391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · 11029167
Also ListedRegistered NurseTaxonomy 163W00000X · License RN61318363 (WA)
466 WOODFORD DR, Debary, FL 32713

Secondary Practice Locations 2

Location 14600 Touchton Rd E Ste 150Jacksonville, FL 32246-8299 · Phone (800) 465-3203
Location 25455 Almira Dr NEBremerton, WA 98311-8330 · Phone (360) 373-5031

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Muhammad Numaan Imam 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.

Medicare Billing Reassignment

Medicare enrollment records show Muhammad Imam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
4719 HIGHWAY 90
Marianna, FL 32446
  • Reassigned Medicare billing, Florida enrollment
  • 15 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32713 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
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

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

Nurse Practitioner (Psychiatric/Mental Health)
466 WOODFORD DR
DEBARY, FL 32713

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 Muhammad Imam's NPI number?

The NPI number for Muhammad Imam is 1407571391. It was assigned to this individual provider in the NPPES registry on October 4, 2022.

Where is Muhammad Imam located?

Muhammad Imam practices at 466 Woodford Dr, Debary, FL 32713. The listed phone number is (813) 580-0163.

What is Muhammad Imam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Muhammad Imam enrolled in Medicare?

Yes. Muhammad Imam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Muhammad Imam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Muhammad Imam reassigns Medicare benefits to Caremed Urgent Care LLC (Marianna, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Muhammad Imam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Muhammad Imam was last updated on April 5, 2024. 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.