Active NPI
Rahamat Mansaray, MD
- Pediatric Sleep Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Sleep Medicine Physician
- License
- 97809
- Practice address
- 859 Mount Vernon Hwy NE Ste 300
Atlanta, GA 30328-4255 - Phone
- (404) 785-0588
- NPI assigned
- Jun 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4351045668 | MI | |
| Pediatric Sleep Medicine Physician | 2080S0012X | 97809 | GA | Primary |
Addresses
Primary practice location
859 Mount Vernon Hwy NE Ste 300
Atlanta, GA 30328-4255
Mailing address
859 Mount Vernon Hwy NE Ste 300
Atlanta, GA 30328-4255
Phone (404) 785-0588
Other names 1
- Rahamat Odunsi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OH, GA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250530003111 | CA | Practitioner - Sleep Medicine | 5294063665 | Reassigns benefits to 2 organizations |
| I20260212003341 | OH | Practitioner - Sleep Medicine | 5294063665 | Reassigns benefits to 1 organization |
| I20260218000011 | GA | Practitioner - Sleep Medicine | 5294063665 | Reassigns benefits to 1 organization |
| I20260310004893 | TN | Practitioner - Sleep Medicine | 5294063665 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Sleep Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sliiip Medical Group P aPuja Thakkar DO Medical Corporation
Practice addresses (Care Compare)
212 Ga Hwy 49 N
Suite 1900
Byron, GA 31008-4059
Phone (478) 238-3552
2222 Camino Ramon
San Ramon, CA 94583-1350
Phone (925) 820-4472
39055 Hastings St
Suite 106
Fremont, CA 94538-1518
Phone (925) 820-4472
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97809 | GA | MD | Pediatric Sleep Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Puja Thakkar, D.O., Medical Corporation | Current | Accepting new patients | |
| Sliiip Medical Group P a | Sleep Medicine | Current | Accepting new patients |
| Sliiip Medical Group of California PC | Current | Accepting new patients | |
| California Pacific Medical Group, Inc. | Past | Accepting new patients | |
| Choa Multispecialty, LLC | Pediatrics | Past | Accepting new patients |
Locations
400 El Cerro Blvd
Ste 107
Danville, CA 94526
Phone (925) 820-4472
2505 Lucas St
#B
Eureka, CA 95501
Phone (707) 442-0400
39055 Hastings St
Ste 106
Fremont, CA 94538
Phone (510) 789-3368
212 GA Highway 49 N
Ste 1900
Byron, GA 31008
6397 Emerald Pkwy
Ste 210
Dublin, OH 43016
Phone (614) 379-1490
Organizations & group practices 5
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.
-
- Sleep Medicine (Internal Medicine) Physician
- Byron, GA
- NPI 1942768536
GA, OH, Sleep Medicine, TN
-
- Sleep Medicine (Internal Medicine) Physician
- Danville, CA
- NPI 1902345747
CA
-
- Sleep Medicine (Internal Medicine) Physician
- Eureka, CA
- NPI 1538030663
CA
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1114589264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "859 MOUNT VERNON HWY NE STE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303284255",
"telephone_number": "404-785-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 MOUNT VERNON HWY NE STE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303284255",
"telephone_number": "404-785-0588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSARAY",
"first_name": "RAHAMAT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-28",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4351045668",
"primary": false
},
{
"code": "2080S0012X",
"taxonomy_group": "",
"desc": "Pediatrics, Sleep Medicine",
"state": "GA",
"license": "97809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RAHAMAT",
"last_name": "ODUNSI",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.