Individual provider Active NPI

Salahuddin Abdur-Rahman, M.D.

  • Internal Medicine Physician
  • N Dartmouth, MA
National Provider Identifier
1154446029
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53844 Issued in MA
Practice address
Dartmouth House of Corrections
400 Faunce Corner Road
N. Dartmouth, MA 02747
Phone
(508) 995-6400
NPI assigned
Mar 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 53844 MA Primary

Addresses

Primary practice location

Dartmouth House of Corrections
400 Faunce Corner Road
N. Dartmouth, MA 02747

Mailing address

790 Rockdale Ave
New Bedford, MA 02740-1561
Phone (508) 995-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
53844MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Health Services,Inc. Past Accepting new patients
Renew You Health and Wellness PC Internal Medicine Past Accepting new patients
Outreach Health Services,Inc. PastSince Nov 30, 2020 Accepting new patients
The Commonwealth of Massachusetts Past Accepting new patients

Organizations & group practices 4

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154446029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 ROCKDALE AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027401561",
            "telephone_number": "508-995-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DARTMOUTH HOUSE OF CORRECTIONS",
            "address_2": "400 FAUNCE CORNER ROAD",
            "city": "N. DARTMOUTH",
            "state": "MA",
            "postal_code": "02747",
            "telephone_number": "508-995-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDUR-RAHMAN",
        "first_name": "SALAHUDDIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "53844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Dartmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.