KHALED IMAM – Geriatric Medicine (Internal Medicine) Physician, NPI 1902865454

KHALED IMAM is a healthcare provider. based in Troy, Michigan. specializing in GERIATRIC MEDICINE. They hold a License No. 4301047866 (MI). The NPI Number for KHALED IMAM is 1902865454

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
KHALED IMAM
NPI
1902865454
Phone
Not provided
Address
130 TOWN CENTER DR STE 203
Enumeration Date
22 March 2006
Last Update Date
21 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1978 (48 years ago)
PAC ID
3375687338
Group Practice PAC ID
9335051093
Professional Enrollment ID
I20100215000743
Address ID
MI480736712RO3601XRDXX500

Contacts

Secure Messaging
kimam8111@direct.beaumont.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

204 GERIATRIC MEDICINE in MI

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Provider Addresses for KHALED IMAM

  • 203, Town Center Drive, Troy, Oakland County, Michigan, 48084, United States

    TROY, MI 480841744

    Phone:

    Type: Mailing

  • 3535, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States

    STE. 108

    ROYAL OAK, MI 480736710

    Phone: (248) 551-1756

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $65.

Total Amount is formed as General ($65) + Research ($0) + Ownership ($0) = $65.

Last reported payment date: 2023-10-05 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($65).

Total Amount

$65

General + Research + Ownership

Payments

1

Total payment records

General Amount

$65

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-02-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100215000743IGeriatric MedicineMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes216109$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes18483$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes148129$0
99214Established patient office or other outpatient visit, 30-39 minutes2113$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 48084)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335051093View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI
-MI
-MI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

What is the standard ID for KHALED IMAM in the U.S.?
In the U.S., KHALED IMAM is identified by NPI 1902865454.
Quick check: is KHALED IMAM active?
Public NPPES data shows KHALED IMAM with an active NPI status right now.
Which specialty label fits KHALED IMAM?
NPPES ties KHALED IMAM to Geriatric Medicine (Internal Medicine) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to KHALED IMAM?
KHALED IMAM shows a connection to Troy, Michigan in registry-derived data.
Why is information missing for KHALED IMAM?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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