Active NPI
Mohammed Yahia Abdul-Rahim, M.D.
- Pediatrics Physician
- Panama City, FL
National Provider Identifier
1003897620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME59452
- Practice address
- 200 W 19TH St
Panama City, FL 32405-4628 - Phone
- (850) 872-0021
- Fax
- (850) 872-0553
- NPI assigned
- Nov 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME59452 | FL | Primary |
| Pediatric Hematology & Oncology Physician | 2080P0207X | ME 59452 | FL |
Addresses
Primary practice location
200 W 19TH St
Panama City, FL 32405-4628
Mailing address
200 W 19TH St
Panama City, FL 32405-4628
Phone (850) 872-0021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 052434400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME59452 | FL | MD | Pediatrics Physician |
| ME 59452 | FL | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yahia Rahim-Abdul | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/9166/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233532800000",
"number": "1003897620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W 19TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054628",
"telephone_number": "850-872-0021",
"fax_number": "850-872-0553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W 19TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054628",
"telephone_number": "850-872-0021",
"fax_number": "850-872-0553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDUL-RAHIM",
"first_name": "MOHAMMED",
"middle_name": "YAHIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2009-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME59452",
"primary": true
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "FL",
"license": "ME 59452",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "052434400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.