Individual provider Active NPI

Mahmoud Ahmed Rahal, MD

  • Gastroenterology Physician
  • Providence, RI
National Provider Identifier
1104346733
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD19447 Issued in RI
Practice address
825 Chalkstone Ave
Providence, RI 02908-4728
Phone
(401) 456-2000
NPI assigned
Jun 24, 2017
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240715002572 RI Practitioner - Internal MedicinePractitioner - Gastroenterology 8224307285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prospect Chartercare Physicians LLCGroup PAC ID 0840416657, 71 clinicians

Practice addresses (Care Compare)

1 Office Pkwy
East Providence, RI 02914-1643
Phone (401) 431-9219

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy69
Upper gastrointestinal (GI) endoscopy for acid reflux49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19447RIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chartercare Physicians, LLC Internal Medicine CurrentSince May 28, 2025 Accepting new patients
Prospect Chartercare Physicians, LLC Internal Medicine CurrentSince Jul 15, 2024 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.