NPIMap

Individual provider Active NPI

Khawaja A. Rehman, MD

  • Internal Medicine Physician
  • Mooresville, NC
National Provider Identifier
1073527339
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U2001 Issued in TX
Practice address
107 Assembly Dr
Unit 112
Mooresville, NC 28117-5419
Phone
(304) 539-3638
NPI assigned
Jul 29, 2006
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21646 WV
Internal Medicine Physician 207R00000X 2010-01883 NC
Internal Medicine Physician 207R00000X U2001 TX Primary

Addresses

Primary practice location

107 Assembly Dr
Unit 112
Mooresville, NC 28117-5419

Mailing address

3831 Roosevelt Dr Unit 112
Irving, TX 75063-3563
Phone (304) 539-3638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110318000582 NC Practitioner - Internal Medicine 4789650839
I20240104001739 TX Practitioner - Internal Medicine 4789650839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Questcare Hospitalists PLLCGroup PAC ID 5799785119, 266 clinicians

Practice addresses (Care Compare)

3301 Matlock Rd
Arlington, TX 76015-2908
Phone (682) 509-6200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21646WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince Nov 20, 2023 Accepting new patients
Inpatient Care Current Accepting new patients
Williamson Emergency Physicians LLC Past Accepting new patients
Emcare Physician Providers Inc. Past Accepting new patients
24 7 MD PLLC Internal Medicine Past Accepting new patients
Inland Sea Inpatient Services Internal Medicine Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Columbia Medical Center of Arlington Subsidiary LP Past Accepting new patients
Beckley Emergency Physicians LLC Past Accepting new patients

Locations

171 Fairview Rd
Mooresville, NC 28117
Phone (704) 660-4000

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1073527339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 ROOSEVELT DR UNIT 112",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633563",
            "telephone_number": "304-539-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 ASSEMBLY DR",
            "address_2": "UNIT 112",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175419",
            "telephone_number": "304-539-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHMAN",
        "first_name": "KHAWAJA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "21646",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2010-01883",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U2001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.