Individual provider Active NPI

Kamran Rahmani, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1003950593
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
176732 Issued in NY
Practice address
250 W 103Rd St Apt 12a
New York, NY 10025-4479
Phone
(212) 666-1864
Fax
(212) 665-5194
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 176732 NY Primary

Addresses

Primary practice location

250 W 103Rd St Apt 12a
New York, NY 10025-4479

Mailing address

250 W 103Rd St Apt 12a
New York, NY 10025-4479
Phone (212) 666-1864

Other identifiers 1

IdentifierTypeStateIssuer
01712665MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 31, 2023 through Mar 31, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003950593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 103RD ST APT 12A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254479",
            "telephone_number": "212-666-1864",
            "fax_number": "212-665-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 103RD ST APT 12A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254479",
            "telephone_number": "212-666-1864",
            "fax_number": "212-665-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMANI",
        "first_name": "KAMRAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "176732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01712665",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.