Individual provider Active NPI

Rehan Mahmud, MD

  • Clinical Cardiac Electrophysiology Physician
  • Bay City, MI
National Provider Identifier
1306826458
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
4301065063 Issued in MI
Practice address
3175 W. Professional Drive
Bay City, MI 48706-2823
Phone
(989) 894-3278
Fax
(989) 894-8155
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 4301065063 MI Primary

Addresses

Primary practice location

3175 W. Professional Drive
Bay City, MI 48706-2823

Mailing address

401 S. Ballenger
Flint, MI 48532-3638
Phone (810) 342-1000

Other identifiers 1

IdentifierTypeStateIssuer
4526610MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100210000444 MI Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 6901718436 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan Current Accepting new patients
McLaren Central Michigan CurrentSince Aug 1, 2020 Accepting new patients
McLaren Bay Region Clinical Cardiac Electrophysiology CurrentSince Feb 1, 2010 Accepting new patients
McLaren Bay Region CurrentSince Feb 1, 2010 Accepting new patients
McLaren Central Michigan CurrentSince Aug 1, 2020 Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

4489 M 61
Standish, MI 48658
Phone (989) 846-2600

2110 S M 76
Ste 8
West Branch, MI 48661
Phone (989) 516-0100

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1306826458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S. BALLENGER",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323638",
            "telephone_number": "810-342-1000",
            "fax_number": "810-342-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 W. PROFESSIONAL DRIVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062823",
            "telephone_number": "989-894-3278",
            "fax_number": "989-894-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMUD",
        "first_name": "REHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MI",
            "license": "4301065063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4526610",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.