Shefa Rahman, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

E-9096 Issued in AR

Practice address

1955 W Truckers Dr
Fayetteville, AR 72704-5637

Phone

(479) 973-6000

Fax

(479) 973-6050

NPI assigned

Apr 10, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Psychiatry

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uhs of Springwoods LLCGroup PAC ID 2769530104, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Uhs of Springwoods LLC

  • Psychiatric Hospital
  • Fayetteville, AR
  • NPI 1790925972
  Medicare reassignment Care Compare group NPD
• Fair Way Counseling, PLLC

  • Community/Behavioral Health Agency
  • Benton, AR
  • NPI 1982139770
  Medicare reassignment NPD

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1124461942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 W TRUCKERS DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045637",
            "telephone_number": "479-973-6000",
            "fax_number": "479-973-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 W TRUCKERS DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045637",
            "telephone_number": "479-973-6000",
            "fax_number": "479-973-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "SHEFA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-9096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE  MEDICAL LICENSE",
            "identifier": "E-9096",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Racheotes, DC
• Taylor Racht
• Nancy Jane Radcliffe, LCSW
• Lakendra Ketrelle Radford
• Shelby Ragsdale
• Rainy Day Therapy LLC
• Luke Rallens, QBHP
• Bailey Ralston, LAC
• Sita Ramasamy
• Jeremy Ramos

• Psychiatry Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.