Active NPI
Zakiur Rahaman, MD
- Surgery Physician
- Port Jefferson, NY
National Provider Identifier
1336598168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME162607
- Practice address
- 620 Belle Terre Rd Ste 2
Port Jefferson, NY 11777-2500 - Phone
- (631) 524-5960
- NPI assigned
- Jun 13, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME162607 | FL | Primary |
Addresses
Primary practice location
620 Belle Terre Rd Ste 2
Port Jefferson, NY 11777-2500
Mailing address
620 Belle Terre Rd Ste 2
Port Jefferson, NY 11777-2500
Phone (631) 524-5960
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119091000 | Medicaid | FL | |
| 37JAL | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME162607 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| KND Development 59 LLC | Current | Accepting new patients |
Locations
3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719
4555 S Manhattan Ave
Tampa, FL 33611
Phone (813) 540-0093
Interoperability endpoints
- zrahaman780482@direct.hfhs.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- zrahaman266231@direct.tgh.org
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.
-
- Hospitalist Physician
- Saint Petersburg, FL
- NPI 1245569870
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1336598168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 BELLE TERRE RD STE 2",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772500",
"telephone_number": "631-524-5960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 BELLE TERRE RD STE 2",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772500",
"telephone_number": "631-524-5960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHAMAN",
"first_name": "ZAKIUR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-13",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME162607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119091000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "37JAL",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.