Active NPI
Mahmoud Ahmed Rahal, MD
- Gastroenterology Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD19447
- Practice address
- 825 Chalkstone Ave
Providence, RI 02908-4728 - Phone
- (401) 456-2000
- NPI assigned
- Jun 24, 2017
- Last updated
- Jul 1, 2024
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD19447 | RI | Primary |
Addresses
Primary practice location
825 Chalkstone Ave
Providence, RI 02908-4728
Mailing address
255 Promenade St Apt P537
Providence, RI 02908-5746
Phone (317) 389-6480
Other practice location 1
200 High Service Ave
North Providence, RI 02904-5113
Phone (401) 456-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Office Pkwy
East Providence, RI 02914-1643
Phone (401) 431-9219
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 69 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 49 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19447 | RI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chartercare Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| Prospect Chartercare Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| Prospect Chartercare Elmhurst, LLC | Past | Accepting new patients |
Locations
1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889
1 Office Pkwy
East Providence, RI 02914
Phone (401) 270-7110
200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000
50 Maude St
Providence, RI 02908
Phone (401) 456-2200
50 Maude St
Ste 3
Providence, RI 02908
825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000
501 Wampanoag Trl
Unit 2
Riverside, RI 02915
Phone (401) 435-3327
Interoperability endpoints
- mahmoud.rahal.1@9000.direct.athenahealth.com
Organizations & group practices 3
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.
-
dba CharterCARE Medical Associates
- Internal Medicine Physician
- Cranston, RI
- NPI 1629493135
-
dba CharterCare Medical Associates
- Internal Medicine Physician
- Cranston, RI
- NPI 1235945650
-
dba Elmhurst Extended Care Facility
- Skilled Nursing Facility
- Providence, RI
- NPI 1457776452
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Roger Williams Medical Center
- General Acute Care Hospital
- Providence, RI
- NPI 1013332014
-
dba Our Lady of Fatima Hospital
- General Acute Care Hospital
- North Providence, RI
- NPI 1871918870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1104346733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 PROMENADE ST APT P537",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029085746",
"telephone_number": "317-389-6480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 CHALKSTONE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029084728",
"telephone_number": "401-456-2000"
}
],
"practiceLocations": [
{
"address_1": "200 High Service Ave",
"address_purpose": "LOCATION",
"city": "North Providence",
"state": "RI",
"postal_code": "029045113",
"country_code": "US",
"telephone_number": "401-456-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHMED RAHAL",
"first_name": "MAHMOUD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-24",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "RI",
"license": "MD19447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.