Individual provider Active NPI

Sameera Rahman, M.D.

  • Family Medicine Physician
  • Boardman, OH
National Provider Identifier
1205067378
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35099464 Issued in OH
Practice address
901 Trailwood Dr
Boardman, OH 44512-5008
Phone
(330) 726-3000
Fax
(330) 726-2612
NPI assigned
Aug 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35099464 OH Primary

Addresses

Primary practice location

901 Trailwood Dr
Boardman, OH 44512-5008

Mailing address

901 Trailwood Dr
Boardman, OH 44512-5008
Phone (330) 726-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, 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
I20121102000338 OH Practitioner - Family Practice 5698926491 Reassigns benefits to 3 organizations
I20200108002797 PA Practitioner - Family Practice 5698926491 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35099464OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Nov 15, 2019 Accepting new patients
Steward Medical Group Inc. Family Medicine CurrentSince Nov 15, 2019 Accepting new patients
4M Emergency Systems Tod LLC CurrentSince Jun 1, 2024 Accepting new patients
4M Emergency Systems LLC CurrentSince Jan 1, 2025 Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients

Locations

9 Galen St
Ste 155
Watertown, MA 02472
Phone (857) 304-2444

880 W Liberty St
Hubbard, OH 44425
Phone (330) 269-1916

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

1296 Tod Pl NW
Ste 200
Warren, OH 44485
Phone (330) 306-5040

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

20 Ohltown Rd
Youngstown, OH 44515
Phone (330) 797-9705

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1205067378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 TRAILWOOD DR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125008",
            "telephone_number": "330-726-3000",
            "fax_number": "330-726-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 TRAILWOOD DR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125008",
            "telephone_number": "330-726-3000",
            "fax_number": "330-726-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "SAMEERA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35099464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.