Active NPI
Rehan A Haque, MD
- Pulmonary Disease Physician
- Indianapolis, IN
National Provider Identifier
1285648741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 01071551A
- Practice address
- 530 E Ohio St
Indianapolis, IN 46204-4600 - Phone
- (317) 200-1822
- NPI assigned
- Jul 28, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME93282 | FL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 01071551A | IN | |
| Pulmonary Disease Physician | 207RP1001X | ME93282 | FL | |
| Pulmonary Disease Physician | 207RP1001X | 01071551A | IN | Primary |
| Internal Medicine Physician | 207R00000X | ME93282 | FL |
Addresses
Primary practice location
530 E Ohio St
Indianapolis, IN 46204-4600
Mailing address
530 E Ohio St
Indianapolis, IN 46204-4600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01261822 | Other | IN | MEDICARE RR PTAN |
| 273164900 | Medicaid | FL | |
| 28729 | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME93282 | FL | MD | Pulmonary Disease Physician |
| 01071551A | IN | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514419200000",
"number": "1285648741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 E OHIO ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462044600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 E OHIO ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462044600",
"telephone_number": "317-200-1822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAQUE",
"first_name": "REHAN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2017-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME93282",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IN",
"license": "01071551A",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME93282",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IN",
"license": "01071551A",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME93282",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR PTAN",
"identifier": "P01261822",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273164900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "28729",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.