NUVAIR ALI IMAM MD
NPI 1558989491
Student in an Organized Health Care Education/Training Program in Brockton, MA

Q: What is Nuvair Imam's NPI number?

The NPI number for Nuvair Imam is 1558989491. It was assigned to this individual provider in the NPPES registry on July 7, 2020.

Q: What is Nuvair Imam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nuvair Imam was last updated on January 12, 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 July 07, 2020PECOS EnrolledAccepts Medicare Assignment

89.43/100

CMS Quality Rating

110 LIBERTY ST, BROCKTON, MA 02301(508) 894-0400(508) 894-0412 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 30, 2023, Jul 7, 2020 (2 updates tracked since 2020).

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About Nuvair Ali Imam Md NPPES

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

NUVAIR ALI IMAM MD (NPI 1558989491) is an individual student in an organized health care education/training program in Brockton, Massachusetts and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Signature Healthcare Brockton Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1558989491

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNUVAIR ALI IMAMCredential: MD

Location Address110 LIBERTY STBrockton, MA 02301-5674

Mailing Address110 Liberty StBrockton, MA 02301-5674 · (508) 894-0400 · Fax (508) 894-0412

Phone(508) 894-0400

Fax(508) 894-0412

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 7, 2020

Last NPPES UpdateJanuary 12, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2024

✔ NPI 1558989491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 1013057 (MA)

110 LIBERTY ST, Brockton, MA 02301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Nuvair Ali Imam Md 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 ID7416374350

PECOS Enrollment IDI20230901001978

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 8

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 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.

235 services116 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

177 services104 patients

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.

75 services61 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

46 services46 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

46 services46 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

18 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Signature Healthcare Brockton Hospital

Acute Care Hospitals · Brockton, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220052

Location680 Center StreetBrockton, MA 02302 · Plymouth County

Emergency services Birthing friendly

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220100

Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk 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.

89.43/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.41

Promoting Interoperability

100

Improvement Activities

Cost

72.68

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.

MR. RICHARD DUONG PA-C

Physician Assistant