Active NPI
Shaheen B Rahman, M.D.
- Urology Physician
- Schenectady, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 206808
- Practice address
- 2200 Rosa Rd
Schenectady, NY 12309-3717 - Phone
- (518) 374-3341
- Fax
- (518) 374-2329
- NPI assigned
- Jul 4, 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 206808 | NY | Primary |
Addresses
Primary practice location
2200 Rosa Rd
Schenectady, NY 12309-3717
Mailing address
23 Knox Cave Rd
Altamont, NY 12009-2800
Phone (518) 872-2795
Other practice location 1
319 S Manning Blvd Ste 106
Albany, NY 12208-1743
Phone (518) 438-1019
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01754058 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | payer.credentialing@sphp.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Albany Medical College of Union University, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
319 S Manning Blvd
Suite 106
Albany, NY 12208-1743
Phone (518) 438-1019
Hospital & facility affiliations
- St Peter'S Hospital
- Samaritan Hospital of Troy, New York
- Ellis Hospital
- Columbia Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206808 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Peter'S Health Partners Medical Associates, P.C. | Current | Accepting new patients |
Locations
319 S Manning Blvd
Ste 106
Albany, NY 12208
Phone (518) 438-0507
3757 Carman Rd
Ste 103
Schenectady, NY 12303
Phone (518) 374-7371
2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331
Interoperability endpoints
- srahman789388@direct.trinity-health.org
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Albany, NY
- NPI 1750626834
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hudson, NY
- NPI 1528024718
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1487644993
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1235169285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 KNOX CAVE RD",
"city": "ALTAMONT",
"state": "NY",
"postal_code": "120092800",
"telephone_number": "518-872-2795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 ROSA RD",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123093717",
"telephone_number": "518-374-3341",
"fax_number": "518-374-2329"
}
],
"practiceLocations": [
{
"address_1": "319 S Manning Blvd Ste 106",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122081743",
"country_code": "US",
"telephone_number": "518-438-1019",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAHMAN",
"first_name": "SHAHEEN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "206808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01754058",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "payer.credentialing@sphp.com",
"affiliation": "N",
"endpointDescription": "SPHP Payer Credentialing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "319 S Manning Blvd Ste 106",
"city": "Albany",
"state": "NY",
"country_code": "US",
"postal_code": "122081743",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.