Khondeker M. Rahman, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

238298 Issued in NY

Practice address

278 Park Ave
Williston Park, NY 11596-1135

Phone

(516) 304-0008

NPI assigned

Jun 16, 2006

Last updated

Feb 19, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Anesthesiology

Education

Other, 1983

Medicare assignment

May accept Medicare assignment

Group practices

Aeandly Ambulatory Endoscopy PLLCGroup PAC ID 3870630130, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: khondeker.rahman@faanmed.ehi.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ae&Ly Ambulatory Endoscopy PLLC

  • Gastroenterology Physician
  • Flushing, NY
  • NPI 1609019819
  Medicare reassignment Care Compare group NPD
• Faan Medical Services PC

  • Pain Medicine Physician
  • Jamaica, NY
  • NPI 1073936308
  Medicare reassignment NPD Authorized official
• Flushing Endoscopy Center LLC

  dba Soho Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Flushing, NY
  • NPI 1861743601
  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  dba Mount Sinai Elmhurst Faculty practice Group

  • Orthopaedic Surgery Physician
  • Elmhurst, NY
  • NPI 1609120674
  Medicare reassignment NPD
• King-Chen Hon Office Based Endoscopy PLLC

  • Endoscopy Clinic/Center
  • Flushing, NY
  • NPI 1043446867
  Medicare reassignment NPD
• Ae & Ly Medical Associates PLLC

  • Gastroenterology Physician
  • Flushing, NY
  • NPI 1912060229
  Medicare reassignment
• Icahn School of Medicine at Mount Sinai

  dba Mount Sinai Elmhurst Faculty Practice Group

  • Anesthesiology Physician
  • Elmhurst, NY
  • NPI 1063766038

  Pain Medicine

  NPD
• Icahn School of Medicine at Mount Sinai

  dba Mount Sinai Elmhurst Faculty Practice Group

  • Diagnostic Radiology Physician
  • Elmhurst, NY
  • NPI 1619221686
  NPD

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1306880547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 PARK AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961135",
            "telephone_number": "516-304-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 PARK AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961135",
            "telephone_number": "516-304-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "KHONDEKER",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "238298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02527122",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Qingshan F Acupuncutre P.C.
• Thomas J Quinn, CASAC-T
• R & D Chemists LLC (R & D Pharmacy)
• Rabines Chiropractic, P.C.
• Susana M Rabines, D.C.
• Robert I. Rattiner, M.D.
• Nathalie Registre, NP
• Keri M Reilly
• Jeffrey S Rein, DDS
• Rahaf Rezek Salib, FNP-BC

• Pain Medicine (Anesthesiology) Physician in Williston Park, NY
• Providers in Williston Park, NY by specialty
• Pain Medicine (Anesthesiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.

Verify at the official NPI Registry.