Active NPI
Muhammad Rehan, M.D.
- Internal Medicine Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 042405
- Practice address
- 640 1St St
Macon, GA 31201-2805 - Phone
- (478) 745-7696
- Fax
- (478) 745-6440
- NPI assigned
- Nov 13, 2006
- Last updated
- Nov 6, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 042405 | GA | Primary |
Addresses
Primary practice location
640 1St St
Macon, GA 31201-2805
Mailing address
640 1St St
Macon, GA 31201-2805
Phone (478) 745-7696
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000758172N | Medicaid | GA | |
| 110238633 | Other | GA | RAIL ROAD MEDICARE |
| 52597384 011 | Other | GA | BCBS PROVIDER # |
| 000758172N | Other | GA | PEACH STATE PROVIDER # |
| 319589 | Other | GA | WELL CARE PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041215000307 | GA | Practitioner - Internal Medicine | 8123085784 | Practice locations: Macon, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
640 1St St
Macon, GA 31201-2805
Phone (478) 745-7696
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042405 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Georgia Internal Medicine, LLC | Internal Medicine | Current | Accepting new patients |
| Inpatient Consultants of Georgia, Inc | Internal Medicine | Past | Accepting new patients |
| Middle Georgia Internal Medicine & Kidney Diseases | Past | Accepting new patients | |
| Middle Ga Nephrology | Internal Medicine | Past | Accepting new patients |
Locations
640 1st St
Macon, GA 31201
Phone (478) 745-7696
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AGGGAA/Endpoint/AGGGAA
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Macon, GA
- NPI 1467523084
-
- Internal Medicine Physician
- Macon, GA
- NPI 1659403970
-
- Nephrology Physician
- Macon, GA
- NPI 1225301781
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Navicent The Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1063583680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 1ST ST",
"city": "MACON",
"state": "GA",
"postal_code": "312012805",
"telephone_number": "478-745-7696",
"fax_number": "478-745-6440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 1ST ST",
"city": "MACON",
"state": "GA",
"postal_code": "312012805",
"telephone_number": "478-745-7696",
"fax_number": "478-745-6440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REHAN",
"first_name": "MUHAMMAD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "042405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000758172N",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "110238633",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "52597384 011",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEACH STATE PROVIDER #",
"identifier": "000758172N",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELL CARE PROVIDER #",
"identifier": "319589",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
- Susan Dixon Reeves
- Shilpa A Rege, PA-AA
- Regency Hospital Company of Macon LLC
- Regency Hospital Company of Macon LLC
- Rehabilitation Physician Specialists of Georgia, PC
- Dorothy Wynens Rehberg, LPC, LMFT
- Sandra M Reid, LCSW
- Miranda Rein, PA
- Forrest David Reise, D.C.,C.C.S.P.
- Rejuvenant Family Health Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.