Individual provider Active NPI

Zain Rahman, MD

  • Sports Medicine (Family Medicine) Physician
  • Jeffersonville, IN
National Provider Identifier
1104356740
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
01081644A Issued in IN
Practice address
2408 Burning Tree CT
Jeffersonville, IN 47130-6742
Phone
(812) 989-8388
NPI assigned
Jun 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01081644A IN
Sports Medicine (Family Medicine) Physician 207QS0010X 01081644A IN Primary
Sports Medicine (Internal Medicine) Physician 207RS0010X 01081644A IN
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2408 Burning Tree CT
Jeffersonville, IN 47130-6742

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 559-9337

Other practice location 1

355 Ridge Ave
Evanston, IL 60202-3328
Phone (847) 316-4000

Other practice location 2

401 E Ontario St Apt 1304
Chicago, IL 60611-7169
Phone (812) 989-8388

Other practice location 3

1220 Spring St
Jeffersonville, IN 47130-3704
Phone (812) 282-8494

Other identifiers 3

IdentifierTypeStateIssuer
IN2570121OtherINMEDICARE
300075431MedicaidIN
7100904810MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230411001665 IN Practitioner - Sports MedicinePractitioner - Internal Medicine 3577938240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Internal Medicine
Education
University of Louisville School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, shared by 19 NPIs, 339 clinicians

Practice addresses (Care Compare)

1220 Spring St
Jeffersonville, IN 47130-3704
Phone (812) 282-8494

12613 Taylorsville Rd
Suite 118
Louisville, KY 40299-5496
Phone (502) 267-1480

1373 E State Rd
Madison, IN 47250-7328

2051 Clevidence Blvd
Clarksville, IN 47129-2278

3707 Charlestown Rd
Suite C1
New Albany, IN 47150-9254
Phone (812) 944-4720

630 N Broadway St
Madison, IN 47250-7328
Phone (812) 801-0995

Hospital & facility affiliations

  • Caretenders Home health agency, New Albany, IN, CCN 157571
  • Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009
  • Norton Scott Hospital Hospital, Scottsburg, IN, CCN 151334

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01081644AINMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Norton Clark Physician Practices, LLC Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

11500 Highway 62
Charlestown, IN 47111
Phone (812) 256-0700

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

1220 Spring St
Jeffersonvlle, IN 47130
Phone (812) 282-8494

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

3707 Charlestown Rd
Ste C1
New Albany, IN 47150
Phone (812) 944-4720

1461 N Gardner St
Scottsburg, IN 47170
Phone (812) 282-8494

130 Hunter Station Way
Ste 201
Sellersburg, IN 47172
Phone (812) 248-4789

Interoperability endpoints

  • Direct secure messaging: zrahman85273@direct.nortonhealthcare.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1104356740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-559-9337",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 BURNING TREE CT",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471306742",
            "telephone_number": "812-989-8388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602023328",
            "country_code": "US",
            "telephone_number": "847-316-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 E Ontario St Apt 1304",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606117169",
            "country_code": "US",
            "telephone_number": "812-989-8388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 Spring St",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471303704",
            "country_code": "US",
            "telephone_number": "812-282-8494",
            "fax_number": "812-288-4481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "ZAIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01081644A",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "IN",
            "license": "01081644A",
            "primary": true
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "IN",
            "license": "01081644A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IN2570121",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300075431",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100904810",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.