Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1134576812 Deactivated / Inactive NPI Female Practitioner

Dr. Asmabanu Memon , MD

Internal Medicine • Lowell, MA

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Asmabanu Memon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 23, 2016
NPI Deactivation Date January 20, 2017
Total Practice Duration ~3 Years of Practice (2014 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Asmabanu Memon, MD was a registered Internal Medicine practicing in Lowell, MA. Throughout an active medical career spanning 3 years, Dr. Memon provided care at the practice location at 295 VARNUM AVE until profile deactivation on 2017-01-20.

Dr. Memon was affiliated with Lowell General Inpatient Specialists Pllc and accepted Medicare assignment.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

295 Varnum Ave

Lowell, MA 018542134

Telephone 9789376000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lowell, MA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -11.8 yrs vs City Avg
City Avg: 23.8 Yrs
State Avg: 29.3 Yrs
Regional Practice Density
63 Specialists

Practicing in Lowell, MA (7127 Statewide)

Telehealth Adoption Rate
31.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Memon (12 Years) 12 Yrs
Lowell Specialty Average (23.8 Years) 23.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
459 224 $390.00 $122.94
99239 Hospital discharge day management, more than 30 minutes
122 118 $400.00 $120.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
73 57 $260.00 $81.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
53 52 $660.00 $180.50
99291 Critical care, first 30-74 minutes
14 12 $700.00 $219.62

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 279153

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Lowell General Inpatient Specialists Pllc

295 Varnum Ave, Lowell, MA 018542134

Phone: 9789376439

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Nicole Flaherty

Nurse Practitioner - Pediatrics

NPI 1013339308
NPI 1013589787

Doctor of Pharmacy (Pharm.D.)

Kelly Surabian

Physician Assistant

NPI 1013697259
Julieann Duong , PA-C

Physician Assistant - Medical

NPI 1043099443

Physician Assistant (Certified)

NPI 1043979834

Doctor of Medicine (M.D.)

Brian Bailey , BS RT(R)(MR), RDMS

Radiologic Technologist - Sonography

NPI 1053621219

BSRT(R)(MR), RDMS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location August 15, 2019

Registered at 295 VARNUM AVE, LOWELL, MA 018542134 (Tel: 9789376000)

📍
Updated Business Mailing Address August 15, 2019

Registered at 47 HIGH STREET, SUITE 101, NORTH ANDOVER, MA 018452637 (Tel: 9782584734)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2019

Internal Medicine (License #279153 in MA)

🔄
NPI Profile Reactivated April 11, 2017

Record officially reactivated for active practice on April 11, 2017

📍
Updated Practice Location April 11, 2017

Registered at 475 SEAVIEW AVENUE, STATEN ISLAND, NY 10305 (Tel: 7182266205)

📍
Updated Business Mailing Address April 11, 2017

Registered at 475 SEAVIEW AVENUE, STATEN ISLAND, NY 10305 (Tel: 7182266205)

👤
Provider Name / Credentials Updated April 11, 2017

Recorded as ASMABANU MEMON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2017

Student in an Organized Health Care Education/Training Program (License #244202 in None)

⚠️
NPI Profile Deactivated January 20, 2017

Record deactivated on January 20, 2017

NPI Profile Active May 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2016

Registered at 475 SEAVIEW AVENUE, STATEN ISLAND, NY 10305 (Tel: 7182266205)

📍
Updated Business Mailing Address May 23, 2016

Registered at 475 SEAVIEW AVENUE, STATEN ISLAND, NY 10305 (Tel: 7182266205)

👤
Provider Name / Credentials Updated May 23, 2016

Recorded as ASMABANU MEMON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2016

Student in an Organized Health Care Education/Training Program (License #244202 in None)

🟢
Initial NPI Registration & Enumeration May 23, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134576812
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2016
Last Update: August 15, 2019
Deactivation Date: January 20, 2017
Sole Proprietor: No

Mailing Address

47 High Street, Suite 101

North Andover, MA 018452637

Phone: 9782584734

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.