Individual provider Active NPI

Hythem Rahman, D.C.

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1144370578
Registry record updated Sep 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009067 Issued in MI
Practice address
20299 Edgewood Ave
Livonia, MI 48152-1181
Phone
(313) 949-6206
Fax
(419) 715-9554
NPI assigned
Jan 10, 2007
Last updated
Sep 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009067 MI Primary

Addresses

Primary practice location

20299 Edgewood Ave
Livonia, MI 48152-1181

Mailing address

20299 Edgewood Ave
Livonia, MI 48152-1181
Phone (313) 949-6206

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040616001163 OH Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 3678557659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Logan College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairwood Chiropractic and Rehab LLCGroup PAC ID 4587891312, 3 clinicians

Practice addresses (Care Compare)

5215 Monroe St
Toledo, OH 43623-3190
Phone (419) 843-1515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009067MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fairwood Chiropractic & Physical Therapy Chiropractor PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505692800000",
    "number": "1144370578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20299 EDGEWOOD AVE",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521181",
            "telephone_number": "313-949-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20299 EDGEWOOD AVE",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521181",
            "telephone_number": "313-949-6206",
            "fax_number": "419-715-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "HYTHEM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2017-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.