Hiro M Rahbar, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME132952 Issued in FL

Practice address

400 Colonnade Dr
Ponte Vedra, FL 32081-6235

Phone

(904) 824-1020

Fax

(904) 824-5333

NPI assigned

May 10, 2013

Last updated

Feb 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Great Lakes Medical Group PC

  • Internal Medicine Physician
  • Eastpointe, MI
  • NPI 1053787853
  Medicare reassignment NPD
• Great Lakes Urgent Care PC of Eastside

  dba Gluce

  • Internal Medicine Physician
  • Eastpointe, MI
  • NPI 1477978930
  Medicare reassignment NPD
• Baptist Primary Care Inc

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1508817529
  NPD (past)
• Baptist Primary Care, Inc.

  • Family Medicine Physician
  • Ponte Vedra, FL
  • NPI 1538566542
  NPD (past)

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1093151540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45443",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841450443",
            "telephone_number": "904-202-1032",
            "fax_number": "904-376-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 COLONNADE DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320816235",
            "telephone_number": "904-824-1020",
            "fax_number": "904-824-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHBAR",
        "first_name": "HIRO",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301103701",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME132952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luana Purdy
• Pure Hope Weight Loss and Healthcare, LLC
• Puzzle Peace Counseling, LLC
• Radiology Imaging Associates, LLC
• Shayla Rae, APRN
• Omama Ashraf Rahmany, DO
• Nasrin Datar Raina, M.D.
• Christina Marie Ralko, CPNP-PC
• Travis Raulerson, MA
• Alice Whitson Regan, RPH

• Family Medicine Physician in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.