Individual provider Active NPI

Hiba Rehman, MD

  • Internal Medicine Physician
  • Van Wert, OH
National Provider Identifier
1295186609
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.138208 Issued in OH
Practice address
1191 Westwood Dr
Van Wert, OH 45891-2464
Phone
(419) 238-6747
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN23867 FL
Internal Medicine Physician 207R00000X 35.138208 OH Primary

Addresses

Primary practice location

1191 Westwood Dr
Van Wert, OH 45891-2464

Mailing address

1191 Westwood Dr
Van Wert, OH 45891-2464
Phone (419) 238-6747

Other practice location 1

2001 Kingsley Ave
GME Office
Orange Park, FL 32073-5148
Phone (904) 639-2018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211111001201 LA Practitioner - Internal Medicine 7315373701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Louisiana Physicians, LLCGroup PAC ID 9335598499, 55 clinicians

Practice addresses (Care Compare)

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 487-1122

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.138208OHMDInternal Medicine Physician
TRN23867FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Central Louisiana Physicians, LLC Internal Medicine CurrentSince Jan 6, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Christus Health Central Louisiana Past Accepting new patients

Locations

3330 Masonic Dr
Fl 4
Alexandria, LA 71301
Phone (318) 448-4942

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

Interoperability endpoints

  • Direct secure messaging: hibarehman@fhcnoi.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1295186609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 WESTWOOD DR",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912464",
            "telephone_number": "419-238-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 WESTWOOD DR",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912464",
            "telephone_number": "419-238-6747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Kingsley Ave",
            "address_2": "GME Office",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320735148",
            "country_code": "US",
            "telephone_number": "904-639-2018",
            "fax_number": "904-639-2015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REHMAN",
        "first_name": "HIBA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN23867",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.138208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Wert, OH

Sources for this page

Verify at the official NPI Registry.