Individual provider Active NPI

Ghazala Farah Rahman, M.D.

  • Surgery Physician
  • Pensacola, FL
National Provider Identifier
1285690669
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD447749 Issued in PA
Practice address
350 W Cedar St
Pensacola, FL 32502-4910
Phone
(800) 444-7009
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036106974 IL
Surgery Physician 208600000X 205331-1 NY
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X MD447749 PA Primary

Addresses

Primary practice location

350 W Cedar St
Pensacola, FL 32502-4910

Mailing address

PO Box 4059
Wayne, NJ 07474-4059
Phone (973) 826-8291

Other practice location 1

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other practice location 2

400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (618) 498-6402

Other identifiers 1

IdentifierTypeStateIssuer
MD447749OtherPAPHYSICIAN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, PA, NJ, VA, CA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20120824000254 IL Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 0547417644
I20171227000866 PA Practitioner - Emergency MedicinePractitioner - Thoracic Surgery 0547417644 Reassigns benefits to 5 organizations
I20190618001602 NJ Practitioner - General Surgery 0547417644
I20230518001651 VA Practitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 0547417644 Reassigns benefits to 1 organization
I20250224000380 CA Practitioner - Emergency Medicine 0547417644 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205331-1NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenixville Clinic Company LLC CurrentSince Mar 1, 2022 Accepting new patients
Phoenixville Clinic Company LLC Surgery Current Accepting new patients
Scranton Quincy Clinic Company LLC CurrentSince Jun 4, 2022 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Apr 20, 2023 Accepting new patients
Scranton Quincy Clinic Company LLC CurrentSince Jun 4, 2022 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Nov 29, 2023 Accepting new patients
Erx Plus Professional Corporation CurrentSince Feb 18, 2025 Accepting new patients
Jersey Community Hospital Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Nov 29, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Surgery Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 20, 2024 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Surgery CurrentSince Apr 20, 2023 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Mar 1, 2022 Accepting new patients
Physician Services Corporation of Southern Illinois Inc. Surgery PastSince Jul 1, 2014 Accepting new patients
Erx Plus Professional Corporation Past Accepting new patients

Locations

9449 San Fernando Rd
Sun Valley, CA 91352
Phone (818) 252-2184

400 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-6402

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

315 S Main St
Old Forge, PA 18518
Phone (570) 457-8364

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2701 Holme Ave
Ste 104
Philadelphia, PA 19152
Phone (215) 331-8897

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

826 Main St
Ste 302
Phoenixville, PA 19460
Phone (215) 546-6050

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4
  • Direct secure messaging: grahman129866@direct-guthrie.org
  • Direct secure messaging: grahman@yourcarecommunity.org

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1285690669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4059",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074744059",
            "telephone_number": "973-826-8291",
            "fax_number": "888-972-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W CEDAR ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325024910",
            "telephone_number": "800-444-7009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Maple Summit Rd",
            "address_purpose": "LOCATION",
            "city": "Jerseyville",
            "state": "IL",
            "postal_code": "620522028",
            "country_code": "US",
            "telephone_number": "618-498-6402",
            "fax_number": "618-498-8491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "GHAZALA",
        "middle_name": "FARAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036106974",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "205331-1",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD447749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "MD447749",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.