Faraz Mahmud Rahman, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

H0083242 Issued in MD

Practice address

9658 Baltimore Ave Ste 420
College Park, MD 20740-1358

Phone

(301) 220-1930

NPI assigned

Apr 16, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Terrapin Care Centers LLC

  • Internal Medicine Physician
  • College Park, MD
  • NPI 1104171404

  DC, Physical Medicine & Rehabilitation

  Medicare reassignment NPD
• Excelsia Physicians Group LLC

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1659086361
  NPD (past)

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124461496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 PARK AVE APT 508",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9658 BALTIMORE AVE STE 420",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401358",
            "telephone_number": "301-220-1930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Park Ave Apt 508",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212015643",
            "country_code": "US",
            "telephone_number": "352-247-4724 x223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "FARAZ",
        "middle_name": "MAHMUD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "H0083242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Sportscare & Rehab, LLC
• Prudent Medical Associates LLC
• Cecile Punzalan, MD MPH
• Sagar Puri
• Emily Quatromoni, ATC
• Seema Raja
• Nan B Ratner, ED.D., SLP
• Steven Lee Rattner, D.D.S.
• Patricia Razo, MS, CCC-SLP
• Kumuda Reddy, M.D

• All providers in College Park, MD
• Physical Medicine & Rehabilitation Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.