Active NPI
Irfan M Rahim, M.D.
- Pediatrics Physician
- Hopkinton, MA
National Provider Identifier
1164521480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 210763
- Practice address
- 77 W Main St
Hopkinton, MA 01748-1684 - Phone
- (508) 435-5506
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 210763 | MA | Primary |
Addresses
Primary practice location
77 W Main St
Hopkinton, MA 01748-1684
Mailing address
77 W Main St
Hopkinton, MA 01748-1684
Phone (508) 435-5506
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204235 | Other | MA | HARVARD PILGRIM |
| 1267486002 | Other | MA | CIGNA |
| 12-03248 | Other | MA | UNITED HEALTHCARE |
| J24179 | Other | MA | BLUE CROSS/BLUE SHIELD |
| 210763 | Other | MA | TUFTS |
| 447466 | Other | MA | HEALTHSOURCE(CMHC) |
| 0180131 | Medicaid | MA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northampton Area Pediatrics, LLP | Pediatrics | Past | Accepting new patients |
| Start Line Pediatrics, LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- irahim7910@direct.chppoc.masshiway.net
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Hopkinton, MA
- NPI 1871095802
-
- Pediatrics Physician
- Northampton, MA
- NPI 1578586582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164521480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 W MAIN ST",
"city": "HOPKINTON",
"state": "MA",
"postal_code": "017481684",
"telephone_number": "508-435-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 W MAIN ST",
"city": "HOPKINTON",
"state": "MA",
"postal_code": "017481684",
"telephone_number": "508-435-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHIM",
"first_name": "IRFAN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "210763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "204235",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1267486002",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "12-03248",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "J24179",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "210763",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSOURCE(CMHC)",
"identifier": "447466",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0180131",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hopkinton, 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.