Active NPI
Comprehensive Healthcare P a
- Internal Medicine Physician
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME72252
- Legal business name
- COMPREHENSIVE HEALTHCARE P A
- Practice address
- 575 N Clyde Morris Blvd Ste a
Daytona Beach, FL 32114-2318 - Phone
- (321) 355-7377
- Fax
- (800) 930-4957
- NPI assigned
- May 24, 2006
- Last updated
- Jan 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Riaz Rahman, MD
- Title
- President
- Phone
- (321) 443-9924
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME72252 | FL | Primary |
Addresses
Primary practice location
575 N Clyde Morris Blvd Ste a
Daytona Beach, FL 32114-2318
Mailing address
646 Hills Blvd
Port Orange, FL 32127-2902
Phone (321) 443-9924
Other practice location 1
29122 Bellaire Boulevard
Suite 600
Richmond, TX 77407
Phone (713) 984-4546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252738300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX, LA
Enrollment records 3
National Provider Directory
National Provider DirectoryLocations
1200 W Granada Blvd
Ste A1
Ormond Beach, FL 32174
Phone (321) 355-7377
905 Beville Rd
Ste B
South Daytona, FL 32119
Phone (321) 355-7377
2439 Manhattan Blvd
Ste 102-1
Harvey, LA 70058
Phone (321) 443-9924
4103 S Main St
Stafford, TX 77477
Phone (321) 355-7377
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Psychiatry Physician
- Kenner, LA
- NPI 1093938458
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1306854500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674000000000",
"number": "1326093527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "646 HILLS BLVD",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321272902",
"telephone_number": "321-443-9924",
"fax_number": "800-930-4957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 N CLYDE MORRIS BLVD STE A",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142318",
"telephone_number": "321-355-7377",
"fax_number": "800-930-4957"
}
],
"practiceLocations": [
{
"address_1": "29122 Bellaire Boulevard",
"address_2": "Suite 600",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "TX",
"postal_code": "77407",
"country_code": "US",
"telephone_number": "713-984-4546",
"fax_number": "800-930-4957",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COMPREHENSIVE HEALTHCARE P A",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2023-01-18",
"certification_date": "2021-05-19",
"status": "A",
"authorized_official_last_name": "RAHMAN",
"authorized_official_first_name": "RIAZ",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "321-443-9924",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME72252",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252738300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
- Community Imaging Alliance, LLC
- Community Resource Network of Florida, LLC
- Community Resource Network of Florida, LLC
- Companion Angel's Professional Limited Liability Company
- Compassion in Healthcare Inc
- Comprehensive Hospitalist Services of Naples LLC
- Concierge Physician Services
- Maureen Cone, CAP
- Douglas Coney
- Penelope Conlan, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.