Mohammad Mahmudur Rahman, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

211211 Issued in NY

Practice address

17012 Highland Ave
Unit 101
Jamaica, NY 11432-2782

Phone

(718) 864-8882

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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.

Enrollment records 1

Specialty

Geriatric MedicineAlso: Hospice/Palliative Care

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coler Rehabilitation and Nursing Care Center Nursing home, Roosevelt Island, NY, CCN 335063

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• New York City Health and Hospitals Corporation

  dba Coler Rehabilitation and Nursing Care Center

  • Skilled Nursing Facility
  • New York, NY
  • NPI 1679581607

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• New York City Health and Hospitals Corporation

  dba Gouverneur Healthcare Services

  • Clinic/Center
  • New York, NY
  • NPI 1548208127
  Medicare reassignment NPD
• New York City Health and Hospitals Corporation

  dba Henry J. Carter Skilled Nursing Facility

  • Skilled Nursing Facility
  • New York, NY
  • NPI 1922016781
  NPD
• Mohammad Rahman Medical Care PC

  • Internal Medicine Physician
  • Jamaica Estates, NY
  • NPI 1245621069

  Geriatric Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New York City Health and Hospitals Corporation

  dba Coler Rehabilitation and Nursing Care Center

  • Skilled Nursing Facility
  • New York, NY
  • NPI 1679581607

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1063504033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18310 DALNY RD",
            "address_2": "JAMAICA ESTATES",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322465",
            "telephone_number": "718-864-8882",
            "fax_number": "718-383-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17012 HIGHLAND AVE",
            "address_2": "UNIT 101",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322782",
            "telephone_number": "718-864-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "MOHAMMAD",
        "middle_name": "MAHMUDUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "211211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01902643",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farhan Rahman, DDS
• Habibur Mohammad Rahman, MD
• Masuma Rahman
• MD Mamunur Rahman
• Mohammad Rahman, MD
• Mohammed M Rahman, MD
• Nazma P Rahman
• Parisa H Rahman, M.D.
• Riaz Ameer Rahman, MD
• Shaheen Rahman, MD

• Geriatric Medicine (Internal Medicine) Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.