Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306280094 Individual Practitioner Female Practitioner

Dr. Ayesha Mallick Imam , MD

Internal Medicine • Springfield, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ayesha Mallick Imam, MD is a certified Internal Medicine practicing in Springfield, OH. With approximately 17 years of clinical experience since completing medical education in 2009, Dr. Imam delivers high-quality medical care to the local community at 100 MEDICAL CENTER DR.

Dr. Imam is affiliated with Usacs Critical Care Medicine Services Of Ohio, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include critical care, first, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Medical Center Dr

Springfield, OH 455042687

Telephone 9375234147
Associated Practice Facility / Clinic
🏢 Trillium Pathology, Inc. Facility NPI 1720056294

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs -3.9 yrs vs City Avg
City Avg: 20.9 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
47 Specialists

Practicing in Springfield, OH (5516 Statewide)

Telehealth Adoption Rate
14.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Imam (17 Years) 17 Yrs
Springfield Specialty Average (20.9 Years) 20.9 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
99291 Critical care, first 30-74 minutes
175 81 $2128.64 $196.78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
43 25 $993.58 $112.62

Medical Specialties & State Licenses

CMS Verified: 2022-11-02
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35.144361

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

Usacs Critical Care Medicine Services Of Ohio, Llc

100 Medical Ctr Dr, Springfield, OH 455042687

Phone: 9375231461

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Lynne Eaton , MD

Obstetrics & Gynecology - Hospice and Palliative Medicine

NPI 1093758179

Doctor of Medicine (M.D.)

Dr. Kamran Khan , MD

Internal Medicine

NPI 1447747803

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 02, 2022

Registered at 100 MEDICAL CENTER DR, SPRINGFIELD, OH 455042687 (Tel: 9375234147)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2022

Internal Medicine (License #35.144361 in OH)

NPI Profile Active April 24, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2013

Registered at 150 BERGEN STREET,, SUITE E-401, NEWARK,, NJ 071011709 (Tel: 9739725682)

📍
Updated Business Mailing Address April 24, 2013

Registered at 150 BERGEN STREET,, SUITE E-401, NEWARK,, NJ 071011709

👤
Provider Name / Credentials Updated April 24, 2013

Recorded as AYESHA MALLICK IMAM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2013

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 24, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Ayesha Mallick Imam. Be the first to share your experience!

Sign in to leave a review for Dr. Ayesha Mallick Imam

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1306280094
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2013
Last Update: November 02, 2022
Sole Proprietor: No

Mailing Address

150 Bergen Street,, Suite E-401

Newark,, NJ 071011709

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.