Organization Active NPI

Rahimian & Associates PC

  • Internal Medicine Physician
  • Clinton, MD
National Provider Identifier
1124288600
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RAHIMIAN & ASSOCIATES PC
Practice address
10403 Hospital Dr
Suite G-6
Clinton, MD 20735-3134
Phone
(301) 877-7660
Fax
(301) 877-7662
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Authorized official

Name
Ali RahimianNPI 1801805858
Title
Owner
Phone
(301) 877-7660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10403 Hospital Dr
Suite G-6
Clinton, MD 20735-3134

Mailing address

10403 Hospital Dr
Suite G-6
Clinton, MD 20735-3134
Phone (301) 877-7660

Other identifiers 6

IdentifierTypeStateIssuer
1940540OtherAETNA
490893ZA3ZOtherDCMEDICARE PTAN NUMBER 490893ZA3Z GROUP MEMBER PROVIDER
6712056OtherCIGNA
N404OtherDCCAREFIRST
1801805858OtherMDASSOCIATED PHYSICIAN ALI RAHIMIAN
1124288600 180180585OtherMDUNITED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081010000374 DC Part B Supplier - Clinic/Group Practice 4880762368 Receives reassigned benefits from 1 practitioner
Practice locations: Vienna, VA

National Provider Directory

National Provider Directory

Locations

10403 Hospital Dr
Ste G6
Clinton, MD 20735
Phone (301) 856-6000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1124288600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10403 HOSPITAL DR",
            "address_2": "SUITE G-6",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353134",
            "telephone_number": "301-877-7660",
            "fax_number": "301-877-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10403 HOSPITAL DR",
            "address_2": "SUITE G-6",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353134",
            "telephone_number": "301-877-7660",
            "fax_number": "301-877-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHIMIAN & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "RAHIMIAN",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-877-7660"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1940540",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN NUMBER 490893ZA3Z GROUP MEMBER PROVIDER",
            "identifier": "490893ZA3Z",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6712056",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "N404",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATED PHYSICIAN ALI RAHIMIAN",
            "identifier": "1801805858",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "1124288600 180180585",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.