Individual provider Active NPI

Mohammed M Rahman, DO

  • Emergency Medicine Physician
  • Harlan, KY
National Provider Identifier
1194963843
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
03230 Issued in KY
Practice address
858 Woodland HLS
Harlan, KY 40831-2569
Phone
(606) 573-5414
NPI assigned
Feb 2, 2009
Last updated
Jul 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 03230 KY Primary

Addresses

Primary practice location

858 Woodland HLS
Harlan, KY 40831-2569

Mailing address

858 Woodland HLS
Harlan, KY 40831-2569
Phone (606) 573-5414

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
I20091109000326 KY Practitioner - Emergency MedicinePractitioner - Family Practice 9739227927 Reassigns benefits to 9 organizations
I20230421002481 PA Practitioner - Family Practice 9739227927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

431 N 21St St
Suite 100
Camp Hill, PA 17011-2202
Phone (717) 763-3730

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Healthcare, Inc. CurrentSince Jul 1, 2017 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
South Central Physicians PLLC CurrentSince Jan 19, 2022 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jun 5, 2023 Accepting new patients
Hyden Emergency Physicians, LLC Emergency Medicine CurrentSince Jun 24, 2019 Accepting new patients
Southern Medical Partners, LLC Emergency Medicine CurrentSince Oct 2, 2018 Accepting new patients
Pine Mountain Emergency Group Limited Liability Company Emergency Medicine CurrentSince Dec 12, 2019 Accepting new patients
Concord Company of Tennessee PLLC Emergency Medicine CurrentSince Mar 30, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Jul 1, 2017 Accepting new patients
Appalachian Regional Healthcare, Inc Emergency Medicine Current Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Middlesborough Emergency Physicians LLC Emergency Medicine CurrentSince Oct 2, 2018 Accepting new patients

Locations

80 Hospital Dr
Barbourville, KY 40906
Phone (606) 545-5500

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900

81 Ball Park Rd
Harlan, KY 40831
Phone (606) 573-8100

100 Airport Gardens Rd
Hazard, KY 41701
Phone (606) 216-5145

130 Kate Ireland Dr
Hyden, KY 41749
Phone (606) 672-2341

910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035

3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700

4604 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-5000

850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051

431 N 21st St
#100
Camp Hill, PA 17011
Phone (717) 763-3730

1211 Forge Rd
Ste 500
Carlisle, PA 17013
Phone (717) 218-3990

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1194963843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 WOODLAND HLS",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408312569",
            "telephone_number": "606-573-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 WOODLAND HLS",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408312569",
            "telephone_number": "606-573-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "MOHAMMED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-02",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "03230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlan, KY

Sources for this page

Verify at the official NPI Registry.