Individual provider Active NPI

Sophia Rahman, M.D.

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1306142955
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P8404 Issued in TX
Practice address
1212 Coit Rd Ste 105
Plano, TX 75075-7740
Phone
(972) 782-2811
Fax
(972) 782-2814
NPI assigned
Jan 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P8404 TX Primary

Addresses

Primary practice location

1212 Coit Rd Ste 105
Plano, TX 75075-7740

Mailing address

1212 Coit Rd Ste 105
Plano, TX 75075-7740
Phone (972) 782-2811

Other identifiers 1

IdentifierTypeStateIssuer
332349504MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://ehr2.charmtracker.com/ehr/messagesAction.do?ACTION=FETCH_ALL_MESSAGES&FACILITY_ID=fb2dc27dfc4c86062e62fe42203ae47d7a68c4657f2ee8b2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140429001029 TX Practitioner - Internal Medicine 6002041902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1212 Coit Rd
Suite 105
Plano, TX 75075-7740
Phone (972) 782-2811

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P8404TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sophia Rahman, MD PLLC Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

6300 Stonewood Dr
Ste 200
Plano, TX 75024
Phone (972) 867-1803

1212 Coit Rd
Ste 105
Plano, TX 75075
Phone (214) 964-2626

Interoperability endpoints

  • Direct secure messaging: srahman@org55.direct.charmhealth.com

Organizations & group practices 2

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 2

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": "1296345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1306142955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 COIT RD STE 105",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757740",
            "telephone_number": "972-782-2811",
            "fax_number": "972-782-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 COIT RD STE 105",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757740",
            "telephone_number": "972-782-2811",
            "fax_number": "972-782-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-30",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P8404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332349504",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://ehr2.charmtracker.com/ehr/messagesAction.do?ACTION=FETCH_ALL_MESSAGES&FACILITY_ID=fb2dc27dfc4c86062e62fe42203ae47d7a68c4657f2ee8b2",
            "affiliation": "N",
            "address_1": "1212 Coit Rd Ste 105",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750757740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.