Individual provider Active NPI

Ahmad Ridwanur Rahman, M.D.

  • Radiation Oncology Physician
  • Allentown, PA
National Provider Identifier
1184071110
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD486093 Issued in PA
Practice address
240 Cetronia Rd Ste 100N
Allentown, PA 18104-9263
Phone
(610) 628-8010
NPI assigned
May 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD486093 PA Primary

Addresses

Primary practice location

240 Cetronia Rd Ste 100N
Allentown, PA 18104-9263

Mailing address

240 Cetronia Rd Ste 100N
Allentown, PA 18104-9263
Phone (610) 628-8010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240827003436 PA Practitioner - Radiation Oncology 4385980192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Tennessee, HSC, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

100 St Lukes LN
Stroudsburg, PA 18360-6217
Phone (484) 526-2200

100 St Lukes Way
Stroudsburg, PA 18360-6217
Phone (272) 212-1000

1021 Park Ave
Quakertown, PA 18951-0130

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (484) 526-7800

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (484) 526-3950

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD486093PAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Oct 1, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Oct 1, 2024 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

325 N 5th St
Allentown, PA 18102
Phone (610) 433-3143

240 Cetronia Rd
Ste 100N
Allentown, PA 18104
Phone (610) 628-8010

1600 St Lukes Blvd
Easton, PA 18045
Phone (484) 503-4400

701 Ostrum St
Ste 501
Fountain Hill, PA 18015
Phone (484) 526-6161

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

575 S 9th St
Ste 8
Lehighton, PA 18235
Phone (570) 645-1013

3000 St Lukes Dr
Quakertown, PA 18951
Phone (215) 538-4500

200 St Lukes Ln
Stroudsburg, PA 18360
Phone (272) 212-1024

208 Lifeline Rd
Ste 203
Stroudsburg, PA 18360
Phone (484) 503-4500

2363 MacArthur Rd
Whitehall, PA 18052
Phone (484) 822-5154

Interoperability endpoints

  • Direct secure messaging: arahman332057@direct-sluhn.org

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 and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1184071110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CETRONIA RD STE 100N",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049263",
            "telephone_number": "610-628-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CETRONIA RD STE 100N",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049263",
            "telephone_number": "610-628-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "AHMAD",
        "middle_name": "RIDWANUR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-19",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD486093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.