Individual provider Active NPI

Hussan Rahim, MD

  • Rheumatology Physician
  • Oklahoma City, OK
National Provider Identifier
1114554276
Registry record updated Jun 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
45689 Issued in OK
Practice address
800 Stanton L Young Blvd # 6421
Oklahoma City, OK 73104-5018
Phone
(405) 271-6400
NPI assigned
Mar 26, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 328033 NY
Rheumatology Physician 207RR0500X 45689 OK Primary

Addresses

Primary practice location

800 Stanton L Young Blvd # 6421
Oklahoma City, OK 73104-5018

Mailing address

135 Corporate Woods Ste 200C
Rochester, NY 14623-1459
Phone (585) 784-7848

Other practice location 1

135 Corporate Woods Ste 200C
Rochester, NY 14623-1459
Phone (585) 784-7848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240718004035 NY Practitioner - Internal Medicine 3779947288 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45689OKMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Hospital of Rochester CurrentSince Jul 1, 2024 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 1, 2024 Accepting new patients
University of Rochester Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Strong Medical Group Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
University of Rochester Internal Medicine Current Accepting new patients
University of Rochester CurrentSince Jul 1, 2024 Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

3669 Countryside Ln
Marion, NY 14505
Phone (315) 926-7733

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

135 Corporate Woods
Ste 200C
Rochester, NY 14623
Phone (585) 784-7848

2400 S Clinton Ave
Ste G2
Rochester, NY 14618
Phone (585) 341-7685

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748736000000",
    "number": "1114554276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CORPORATE WOODS STE 200C",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231459",
            "telephone_number": "585-784-7848",
            "fax_number": "585-784-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 STANTON L YOUNG BLVD # 6421",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045018",
            "telephone_number": "405-271-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Corporate Woods Ste 200C",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146231459",
            "country_code": "US",
            "telephone_number": "585-784-7848",
            "fax_number": "585-784-7844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHIM",
        "first_name": "HUSSAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2025-06-01",
        "certification_date": "2025-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "328033",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OK",
            "license": "45689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.