ABRAHIM IMAM
NPI 1427637644
Family Medicine in Tupelo, MS

Q: What is Abrahim Imam's NPI number?

The NPI number for Abrahim Imam is 1427637644. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Q: What is Abrahim Imam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Abrahim Imam was last updated on October 30, 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.

Active since April 05, 2021PECOS EnrolledAccepts Medicare Assignment

1665 S GREEN ST, TUPELO, MS 38804(662) 377-2189(662) 377-2667 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Abrahim Imam NPPES

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

ABRAHIM IMAM (NPI 1427637644) is an individual family medicine provider in Tupelo, Mississippi, licensed in Alabama (DO.3848) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Gulf Coast Hospital, and is a graduate of Edward Via Col Of Osteo Medicine-carolinas Campus (2021).

NPPES Registry Identity

NPI1427637644

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameABRAHIM IMAM

Location Address1665 S GREEN STTupelo, MS 38804-6556

Mailing Address1665 S Green StTupelo, MS 38804-6556 · (662) 377-2189 · Fax (662) 377-2667

Phone(662) 377-2189

Fax(662) 377-2667

Sole ProprietorNo

Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2021

Enumeration DateApril 5, 2021

Last NPPES UpdateOctober 30, 2024

NPPES CertifiedOctober 30, 2024

✔ NPI 1427637644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AL · DO.3848

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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

1665 S GREEN ST, Tupelo, MS 38804

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Abrahim Imam 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 ID5092118893

PECOS Enrollment IDI20250305000380

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 Reassignments

Medicare enrollment records show Abrahim Imam reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osama Elshazly MD PA

334 mi

Internal Medicine

2202 STATE AVE, SUITE 102
Panama City, FL 32405

Reassigned Medicare billing, Florida enrollment
2 clinicians in this Medicare group

NPI 1962514299 (850) 785-0085

Ibrahim Imam Do Inc

334 mi

Adult Medicine

2103 JENKS AVE
Panama City, FL 32405

Reassigned Medicare billing, Florida enrollment

NPI 1841124070 (256) 617-0815

Hospital Medicine Services Of Fl, LLC

768 mi

Hospitalist

20900 BISCAYNE BLVD
Aventura, FL 33180

Reassigned Medicare billing, Florida enrollment
861 clinicians in this Medicare group

NPI 1710684857 (305) 682-7000

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

Hospital Affiliations CMS Care Compare

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

Hca Florida Gulf Coast Hospital

Acute Care Hospitals · Panama City, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100242

Location449 W 23rd StPanama City, FL 32405 · Bay County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38804 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 20

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

YONG SEOK CHANG DO

Student in an Organized Health Care Education/Training Program