Individual provider Active NPI

Rahman Carll, NP

  • Adult Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1295513174
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP028189 Issued in PA
Practice address
27 E Mount Airy Ave
Philadelphia, PA 19119-1713
Phone
(215) 248-6833
Fax
(800) 736-0986
NPI assigned
Sep 20, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP028189 PA Primary

Addresses

Primary practice location

27 E Mount Airy Ave
Philadelphia, PA 19119-1713

Mailing address

27 E Mount Airy Ave
Philadelphia, PA 19119-1713
Phone (215) 248-6833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20240426001306 PA Practitioner - Nurse Practitioner 4981048246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merakey Total HealthGroup PAC ID 5890104897, 3 clinicians

Practice addresses (Care Compare)

27 E Mount Airy Ave
Philadelphia, PA 19119-1713
Phone (215) 248-6700

Hospital & facility affiliations

  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince May 4, 2024 Accepting new patients
Merakey Total Health CurrentSince Mar 13, 2024 Accepting new patients
Merakey Total Health CurrentSince Mar 13, 2024 Accepting new patients

Locations

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

620 Germantown Pike
Lafayette Hl, PA 19444
Phone (313) 278-2327

27 E Mount Airy Ave
Philadelphia, PA 19119
Phone (215) 248-6700

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCCGCD/Endpoint/BCCGCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCCGCD

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1295513174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 E MOUNT AIRY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191713",
            "telephone_number": "215-248-6833",
            "fax_number": "800-736-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 E MOUNT AIRY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191713",
            "telephone_number": "215-248-6833",
            "fax_number": "800-736-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLL",
        "first_name": "RAHMAN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP028189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.