Amitav Anthony Rahman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

9895 W Remington PL
Littleton, CO 80128-6734

Phone

(303) 948-2676

Fax

(303) 904-9151

NPI assigned

Aug 24, 2021

Reactivated

Jan 11, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amitavrahman@pfp.ssdirect.aprima.com

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.

• Nutrition Center of Colorado, LLC

  • Registered Dietitian
  • Centennial, CO
  • NPI 1396260485

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1245907617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9895 W REMINGTON PL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801286734",
            "telephone_number": "303-948-2676",
            "fax_number": "303-904-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9895 W REMINGTON PL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801286734",
            "telephone_number": "303-948-2676",
            "fax_number": "303-904-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "AMITAV",
        "middle_name": "ANTHONY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-24",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "deactivation_date": "2021-12-06",
        "reactivation_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005852",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Rabus, DMD
• Shannon Rademacher, PHARMD
• Christopher Samuel Radigan, M.S.W, LCSW, LAC
• Michelle Radigan, R.N.
• Sarah Radke
• Rainen Massage Therapy LLC
• Caitlyn Raines
• Paige M Rainford, PT, DPT
• Krystal Rains, MSW
• Mikayla Raisch, LAC, LPC

• Medical Physician Assistant in Littleton, CO
• Providers in Littleton, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.