Individual provider Active NPI

Taj Rahman, MD

  • Pulmonary Disease Physician
  • Mechanicsburg, PA
National Provider Identifier
1194143503
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD470912 Issued in PA
Practice address
2005 Technology Pkwy Ste 300
Mechanicsburg, PA 17050-9423
Phone
(717) 988-5864
NPI assigned
Apr 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 50132 KY
Pulmonary Disease Physician 207RP1001X MD470912 PA Primary

Addresses

Primary practice location

2005 Technology Pkwy Ste 300
Mechanicsburg, PA 17050-9423

Mailing address

111 S Front St
Harrisburg, PA 17101-2010

Other practice location 1

7926 Preston Hwy Ste 106
Louisville, KY 40219-3848
Phone (502) 964-4357

Other practice location 2

800 Rose St
Lexington, KY 40536-3848
Phone (859) 323-2636

Other practice location 3

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 231-8772

Other practice location 4

4310 Londonderry Rd Ste 106
Harrisburg, PA 17109-5333
Phone (717) 988-8210

Other practice location 5

1703 Innovation Dr Ste 4120
York, PA 17408-8815
Phone (717) 632-9263

Other identifiers 1

IdentifierTypeStateIssuer
7100362350MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address trahman175736@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151223001348 KY Practitioner - Internal Medicine 3476853045 Reassigns benefits to 1 organization
I20200812003367 PA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3476853045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 231-8772

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Dec 28, 2015 Accepting new patients
Community Medical Associates, Inc. CurrentSince Dec 28, 2015 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 7, 2020 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 7, 2020 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

7926 Preston Hwy
Ste 106
Louisville, KY 40219
Phone (502) 964-4357

4310 Londonderry Rd
Ste 106
Harrisburg, PA 17109
Phone (717) 724-6780

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Harrisburg, PA 17104
Phone (717) 230-3459

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

2005 Technology Pkwy
Ste 300
Mechanicsburg, PA 17050
Phone (717) 782-4785

1703 Innovation Dr
Ste 4120
York, PA 17408
Phone (717) 632-9263

Interoperability endpoints

  • Direct secure messaging: trahman300188@upmc.direct-ci.com

Organizations & group practices 6

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 9

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": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1194143503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 TECHNOLOGY PKWY STE 300",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509423",
            "telephone_number": "717-988-5864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7926 Preston Hwy Ste 106",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402193848",
            "country_code": "US",
            "telephone_number": "502-964-4357",
            "fax_number": "502-966-5948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Rose St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405363848",
            "country_code": "US",
            "telephone_number": "859-323-2636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 S Front St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171012010",
            "country_code": "US",
            "telephone_number": "717-231-8772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4310 Londonderry Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171095333",
            "country_code": "US",
            "telephone_number": "717-988-8210",
            "fax_number": "717-221-5260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1703 Innovation Dr Ste 4120",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174088815",
            "country_code": "US",
            "telephone_number": "717-632-9263",
            "fax_number": "717-646-7439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "TAJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "50132",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD470912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100362350",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trahman175736@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "111 S Front St",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171012010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.