Individual provider Active NPI

Bobak Reza Rahmanian, DO

  • Emergency Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1124068325
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS11406 Issued in FL
Practice address
13691 Metro Pkwy Ste 400
Fort Myers, FL 33912-4349
Phone
(239) 440-6456
Fax
(239) 236-0337
NPI assigned
Jun 7, 2006
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DOS911 HI
Emergency Medicine Physician 207P00000X OS11406 FL Primary

Addresses

Primary practice location

13691 Metro Pkwy Ste 400
Fort Myers, FL 33912-4349

Mailing address

PO Box 9279
Jupiter, FL 33468-9279
Phone (239) 440-6456

Other identifiers 3

IdentifierTypeStateIssuer
53784704MedicaidHI
A015OtherHITRICARE
53784705MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI2 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
I20120220000687 FL Practitioner - Emergency MedicinePractitioner - Internal Medicine 5890715643 Reassigns benefits to 7 organizations
I20190917003337 MI Practitioner - Emergency Medicine 5890715643 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihp Mi Emergency Medicine PLLCGroup PAC ID 2365821634, 42 clinicians
Cape Coral Emergency Physicians LLCGroup PAC ID 1557465325, 11 clinicians
Hawk Emergency Group, P.C.Group PAC ID 6800241050, 55 clinicians

Practice addresses (Care Compare)

2601 Electric Ave
Port Huron, MI 48060-6587
Phone (810) 216-1500

636 Del Prado Blvd S
Emergency Dept
Cape Coral, FL 33990-2668
Phone (239) 424-2000

825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
911HIMDMarriage & Family Therapist
DOS911HIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Wales Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 19, 2020 Accepting new patients
Tele911 Florida Emergency Medical Group, P.a. Emergency Medicine CurrentSince Mar 23, 2023 Accepting new patients
Hawk Emergency Group, P.C. Emergency Medicine CurrentSince Feb 4, 2025 Accepting new patients
Ies Florida PLLC Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Mar 12, 2023 Accepting new patients
Munson Healthcare Cadillac Current Accepting new patients
Port Charlotte HBP Services LLC Emergency Medicine CurrentSince Feb 10, 2023 Accepting new patients
Munson Healthcare Cadillac CurrentSince Jun 4, 2020 Accepting new patients
Munson Healthcare Cadillac CurrentSince Jun 4, 2020 Accepting new patients
Southwest Florida Emergency Management LLC Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Thse - Marco Urgent Care LLC CurrentSince Jan 16, 2024 Accepting new patients
Ihp Mi Emergency Medicine PLLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Emergency Medical Care West Emergency Medicine Past Accepting new patients
Island Medical Consultants, LLC Past Accepting new patients
Emergency Medical Care Emergency Medicine Past Accepting new patients

Locations

2521 Del Prado Blvd N
Cape Coral, FL 33909
Phone (239) 242-1357

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

40 S Heathwood Dr
Marco Island, FL 34145
Phone (239) 393-4079

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

3782 Momentum Pl
Chicago, IL 60689

200 Corporate Blvd
Lafayette, LA 70508

200 Corporate Blvd
Ste 201
Lafayette, LA 70508

302 Hobart St
Cadillac, MI 49601
Phone (231) 775-8814

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

1110 Sixth St
Traverse City, MI 49684
Phone (231) 392-8400

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: brahmanian@hc.ssdirect.aprima.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Crossbridge HospiceTroy, MI, CCN 231611 Hospice Contracted Managing Employee Nov 3, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 5

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1124068325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9279",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334689279",
            "telephone_number": "239-440-6456",
            "fax_number": "239-236-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY STE 400",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124349",
            "telephone_number": "239-440-6456",
            "fax_number": "239-236-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMANIAN",
        "first_name": "BOBAK",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "DOS911",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS11406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53784704",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A015",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53784705",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.