DR. JAHAN IMANI (MD) – Internal Medicine Physician, NPI 1063414969

DR. JAHAN IMANI (MD) is a healthcare provider. based in Washington terrace, Utah. specializing in NEUROLOGY, PAIN MANAGEMENT. They hold the professional credentials MD. They hold a License No. 260615 (UT). The NPI Number for DR. JAHAN IMANI (MD) is 1063414969

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAHAN IMANI (MD)
NPI
1063414969
Phone
(801) 475-0399
Address
5315 ADAMS AVE PKWY
Enumeration Date
11 August 2005
Last Update Date
19 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8014757707
Graduation Year
1986 (40 years ago)
PAC ID
9931181245
Group Practice PAC ID
4284616509
Professional Enrollment ID
I20040602000141
Address ID
UT844054772WA5315XPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

218 NEUROLOGY in UT

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Provider Addresses for DR. JAHAN IMANI (MD)

  • 5315, Adams Avenue Parkway, Washington Terrace, Weber County, Utah, 84405, United States

    STE A

    WASHINGTON TERRACE, UT 844054766

    Phone: (801) 475-0399

    Fax: (801) 475-7322

    Type: Location

  • PO BOX 9519

    OGDEN, UT 844090519

    Phone: (801) 475-0399

    Fax: (801) 475-7322

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 303 Open Payments records for all available years, with a total value of $5,589.

Total Amount is formed as General ($5,589) + Research ($0) + Ownership ($0) = $5,589.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: UCB, Inc. ($596).

Total Amount

$5,589

General + Research + Ownership

Payments

303

Total payment records

General Amount

$5,589

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2004-06-02

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
I20040602000141INeurologyUTTBD

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
80307Testing for presence of drug, by chemistry analyzers54584$0
99214Established patient office or other outpatient visit, 30-39 minutes456113$0
99213Established patient office or other outpatient visit, 20-29 minutes18187$0
99215Established patient office or other outpatient visit, 40-54 minutes3926$0
99204New patient office or other outpatient visit, 45-59 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 84405)

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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: 4284616509View full group profile
NameSpecialtyState
Nurse PractitionerUT
Physician AssistantUT

Reviews

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Frequently asked questions

Does DR. JAHAN IMANI (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JAHAN IMANI (MD) uses 1063414969.
Can I rely on DR. JAHAN IMANI (MD) being an active provider?
As of the registry snapshot, DR. JAHAN IMANI (MD) is marked active.
What is DR. JAHAN IMANI (MD) best known for clinically?
Directory data describes DR. JAHAN IMANI (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JAHAN IMANI (MD)?
DR. JAHAN IMANI (MD)'s geographic hint is Washington Terrace, Utah in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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