Active NPI
Fnu Raza Ur Rahman, MD
- Internal Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036174684
- Practice address
- 4201 St. Antoine Uhc 9C
Detroit Medical Center, Gme Office
Detroit, MI 48201 - Phone
- (313) 745-5146
- Fax
- (313) 993-8501
- NPI assigned
- May 18, 2022
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036174684 | IL | Primary |
Addresses
Primary practice location
4201 St. Antoine Uhc 9C
Detroit Medical Center, Gme Office
Detroit, MI 48201
Mailing address
4201 St. Antoine Uhc 9C
Detroit Medical Center, Gme Office
Detroit, MI 48201
Phone (313) 745-5146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Spring St
FL 4
Streator, IL 61364-3332
Phone (815) 672-4587
Hospital & facility affiliations
- Osf Healthcare Home Care
- Osf Saint Elizabeth MDL Ctr
- Osf Saint Clare Medical Center
- Saint James Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036174684 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint James Hospital | Current | Accepting new patients | |
| Mendota Community Hospital | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Internal Medicine | Current | Accepting new patients |
| Saint James Hospital | Current | Accepting new patients | |
| Mendota Community Hospital | Current | Accepting new patients | |
| Mendota Community Hospital | Current | Accepting new patients | |
| Saint James Hospital | Past | Accepting new patients |
Locations
1404 Washington St
Mendota, IL 61342
Phone (815) 538-1825
1401 E 12th St
Mendota, IL 61342
Phone (815) 539-7461
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
111 Spring St
Fl 4
Streator, IL 61364
Phone (815) 672-4587
Organizations & group practices 8
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.
-
- Rural Health Clinic/Center
- Streator, IL
- NPI 1891399432
-
- Family Medicine Physician
- Mendota, IL
- NPI 1407872997
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Rural Health Clinic/Center
- Granville, IL
- NPI 1225877590
-
- Emergency Medicine Physician
- Mendota, IL
- NPI 1417973900
-
- Rural Health Clinic/Center
- Roanoke, IL
- NPI 1164138848
-
- Rural Health Clinic/Center
- Cullom, IL
- NPI 1790712701
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Princeton, IL
- NPI 1093308439
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
- Home Health Agency
- Loves Park, IL
- NPI 1023051992
-
- General Acute Care Hospital
- Pontiac, IL
- NPI 1407808090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752796800000",
"number": "1336886696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 ST. ANTOINE UHC 9C",
"address_2": "DETROIT MEDICAL CENTER, GME OFFICE",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-745-5146",
"fax_number": "313-993-8501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 ST. ANTOINE UHC 9C",
"address_2": "DETROIT MEDICAL CENTER, GME OFFICE",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-745-5146",
"fax_number": "313-993-8501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAZA UR RAHMAN",
"first_name": "FNU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-18",
"last_updated": "2025-07-18",
"certification_date": "2025-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036174684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.