Active NPI
Rahman Carll, NP
- Adult Health Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP028189
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
27 E Mount Airy Ave
Philadelphia, PA 19119-1713
Phone (215) 248-6700
Hospital & facility affiliations
- Jefferson Einstein Philadelphia Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Merakey Total Health | Current | Accepting new patients | |
| Merakey Total Health | Current | 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
- https://fhir4.healow.com/fhir/r4/BCCGCD/Endpoint/BCCGCD
- 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.
-
- Clinic/Center
- Philadelphia, PA
- NPI 1104337641
-
- Clinic/Center
- Hammond, LA
- NPI 1194236638
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.