Individual provider Active NPI

Mustafizur Rahman, MD

  • Anesthesiology Physician
  • Bronx, NY
National Provider Identifier
1114002508
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
229387 Issued in NY
Practice address
MMC - Dept. of Anesthesiology
111 East 210TH Street
Bronx, NY 10467
Phone
(718) 920-4316
NPI assigned
Oct 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 229387 NY Primary

Addresses

Primary practice location

MMC - Dept. of Anesthesiology
111 East 210TH Street
Bronx, NY 10467

Mailing address

24 Bonaventure Ave
Ardsley, NY 10502-2104
Phone (718) 920-4316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040128000313 NY Practitioner - Anesthesiology 6507769650 Reassigns benefits to 10 organizations
I20120413000090 NJ Practitioner - Anesthesiology 6507769650

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
Gastrointestinal Care of Long Island PLLCGroup PAC ID 7517042211, 175 clinicians
Singular Anesthesia Services PLLCGroup PAC ID 7618284092, 72 clinicians
Horizon Medical Group PCGroup PAC ID 6103715529, 78 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

1842 Williamsbridge Rd
Bronx, NY 10461-6206
Phone (718) 828-0100

258 High Ave
Nyack, NY 10960-2407
Phone (845) 600-4876

3219 E Tremont Ave
Bronx, NY 10461-5751
Phone (718) 794-1284

55 Palmer Ave
Bronxville, NY 10708-3403
Phone (914) 787-1000

88 Old Route 9W
New Windsor, NY 12553-5485
Phone (845) 549-1011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Anesthesia, PLLC Anesthesiology CurrentSince Dec 16, 2018 Accepting new patients
Horizon Medical Group, P.C. Anesthesiology CurrentSince Jan 1, 2026 Accepting new patients
Gastrointestinal Care of Long Island PLLC CurrentSince Mar 1, 2025 Accepting new patients
New York Gi Center LLC CurrentSince Jul 8, 2023 Accepting new patients
Digestive Diseases Diagnostic & Treatment Center LLC CurrentSince Oct 3, 2018 Accepting new patients
Horizon Medical Group, P.C. CurrentSince Jan 1, 2026 Accepting new patients
Bay Ridge Endoscopy Services PLLC Anesthesiology CurrentSince Oct 2, 2019 Accepting new patients
Queens Boulevard ASC LLC CurrentSince Jul 31, 2020 Accepting new patients
Ae&Ly Ambulatory Endoscopy PLLC CurrentSince Oct 1, 2019 Accepting new patients
The Light Medical, PC CurrentSince Jan 1, 2020 Accepting new patients
Singular Anesthesia Services, PLLC Anesthesiology CurrentSince Apr 29, 2019 Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients
Keystone Kidney Associates, PC PastSince Mar 12, 2024 Accepting new patients
TJH Medical Services, P.C. Anesthesiology Past Accepting new patients
Park East Pain Management Suite, PLLC PastSince Dec 16, 2018 Accepting new patients

Locations

1200 Waters Pl
Ste M117
Bronx, NY 10461
Phone (718) 863-0575

1842 Williamsbridge Rd
Bronx, NY 10461
Phone (718) 828-0100

2063 Bartow Ave
Ste A
Bronx, NY 10475
Phone (718) 379-8800

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

237 Bay Ridge Pkwy
Brooklyn, NY 11209
Phone (718) 748-7100

21 Edward J Lempka Dr
Florida, NY 10921
Phone (845) 284-2733

13633 37th Ave
Fl 7
Flushing, NY 11354
Phone (718) 321-3262

1880 E Jericho Tpke
Huntington, NY 11743
Phone (631) 629-4628

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

88 Old Route 9W
Ofc
New Windsor, NY 12553
Phone (845) 549-1011

9525 Queens Blvd
Frnt 3
Rego Park, NY 11374
Phone (718) 406-8000

1534 Victory Blvd
Staten Island, NY 10314
Phone (718) 447-0055

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGICBA
  • Direct secure messaging: musrahman@montefioredirect.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114002508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BONAVENTURE AVE",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105022104",
            "telephone_number": "718-920-4316",
            "fax_number": "718-881-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MMC - DEPT. OF ANESTHESIOLOGY",
            "address_2": "111 EAST 210TH STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-920-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "MUSTAFIZUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "229387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.