Khawaja Atiq Rahman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0079013 Issued in FL

Practice address

6015 Rex Hall LN
Apollo Beach, FL 33572-2657

Phone

(813) 641-0068

Fax

(813) 645-3816

NPI assigned

Mar 8, 2006

Last updated

Dec 2, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 17

Medicare fee-for-service enrollment

Enrolled in FL

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

Emergency MedicineAlso: Internal Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Premium Health Services of Tampa Bay

  dba Express Care of Tampa Bay

  • Urgent Care Clinic/Center
  • Seffner, FL
  • NPI 1538421664
  Medicare reassignment NPD Authorized official
• Express Care of Tampa Bay, LLC

  • Internal Medicine Physician
  • Apollo Beach, FL
  • NPI 1386700797
  Medicare reassignment Authorized official
• Premium Health Services

  dba Express care of Tampa bay

  • Urgent Care Clinic/Center
  • Apollo Beach, FL
  • NPI 1275802621
  NPD (past) Authorized official
• Premium Health Services of Tampa

  dba express care of tampa bay

  • Urgent Care Clinic/Center
  • Brandon, FL
  • NPI 1790060366
  NPD (past) Authorized official
• Emergency Physician Specialists Inc

  • Emergency Medicine Physician
  • Davenport, FL
  • NPI 1912973850
  NPD (past)
• FC Emergency Physicians LLC

  • Emergency Medicine Physician
  • Brooksville, FL
  • NPI 1871776872
  NPD (past)
• Lake Wales Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Lake Wales, FL
  • NPI 1033480405
  NPD (past)
• Quality Drive Emergency Physicians LLC

  • Emergency Medicine Physician
  • Spring Hill, FL
  • NPI 1093998833
  NPD (past)
• Sabal Palm Emergency Physicians

  • Emergency Medicine Physician
  • Dade City, FL
  • NPI 1205023595
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354406400000",
    "number": "1144298134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 REX HALL LN",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722657",
            "telephone_number": "813-641-0068",
            "fax_number": "813-645-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 REX HALL LN",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722657",
            "telephone_number": "813-641-0068",
            "fax_number": "813-645-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "KHAWAJA",
        "middle_name": "ATIQ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2012-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0079013",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME0079013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR GROUP",
            "identifier": "DB9962",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL UC",
            "identifier": "00802",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP UC",
            "identifier": "289370",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED UC",
            "identifier": "295858",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA UC",
            "identifier": "3535562",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS UC",
            "identifier": "B903U",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE UC",
            "identifier": "285718",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257406300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA UC",
            "identifier": "000029271",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "200656648",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267227900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME0079013",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49283",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS INDIVIDUAL",
            "identifier": "10560601",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "608813500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR INDIVIDUAL",
            "identifier": "P00152472",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS GROUP UC",
            "identifier": "10560801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Publix Super Markets Inc (Publix Pharmacy #1260)
• Publix Super Markets Inc (Publix Pharmacy #1113)
• Pursuing Wellness LLC (Pursuing Wellness)
• Laura Fischer Queiroz, DH
• R&M Community Services, LLC
• Sheila Elizabeth Rainey
• Brenda Raj, LMHC
• Nadya Lissette Ramos Hernandez, OTD, OTR/L
• Randall P Weyrich MD LLC
• Raegina Sarafina Randolph

• Internal Medicine Physician in Apollo Beach, FL
• Providers in Apollo Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2012; 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.