Alexis Danielle Rahman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9112570 Issued in FL

Practice address

3527 Tabernacle PL
Tampa, FL 33607-5834

Phone

(863) 397-8385

NPI assigned

Sep 21, 2019

Last updated

Jun 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Bennett Medical School, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Imaging Associates LLCGroup PAC ID 2466342803, 182 clinicians

Stern Drake Isbell and Associates PAGroup PAC ID 3779480835, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Merit-based Incentive Payment System (MIPS)

Final score

88 of 100Reported as group

Quality

74.04

Promoting interoperability

100

Improvement activities

40

Cost

70.96

Merit-based Incentive Payment System (MIPS)

Final score

99.99 of 100Reported as group

Quality

100

Improvement activities

40

Cost

79.08

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Radiology Imaging Associates, LLC

  • Diagnostic Radiology Physician
  • Daytona Beach, FL
  • NPI 1063400729
  Medicare reassignment Care Compare group NPD
• Stern, Drake, Isbell & Associates, PA

  dba SDI Diagnostic Imaging

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1215903398
  Medicare reassignment Care Compare group
• Radiology Physician Solutions of West Florida, LLC

  • Diagnostic Radiology Physician
  • St Petersburg, FL
  • NPI 1104205046
  Medicare reassignment NPD
• Radiology Physician Solutions of West Florida, LLC

  • Diagnostic Radiology Physician
  • Plantation, FL
  • NPI 1427437367
  NPD

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

• St. Joseph's Hospital, Inc.

  dba St. Joseph's Women's Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816
  Care Compare affiliation
• St. Joseph's Hospital, Inc.

  dba St. Joseph's Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818
  Care Compare affiliation

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

{
    "created_epoch": "1569024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1245881200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 NORTHDALE BLVD",
            "address_2": "STE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241871",
            "telephone_number": "863-397-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 TABERNACLE PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075834",
            "telephone_number": "863-397-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "ALEXIS",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-21",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9112570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA PHYSICIAN ASSISTANT LICENSE",
            "identifier": "9112570",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trelvis L Ragin Sallet, M.D.
• Avram Randall Polk Rago
• Lenisa Ragoodial, BCBA
• Gaiatri Niesha Ragoonanan-Kallimutoo, B.S.
• Farzaneh Rahimi, D.D.S
• Barbara A Rahman, APRN
• Farhana Rahman, MD
• Lubna Rahman, MD
• Sanah Rahman, PA-C
• Sarah Rahman

• Physician Assistant in Tampa, FL
• Providers in Tampa, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.