NPIMap

Individual provider Active NPI

Syed Iqbql Rahmatullah, M.D.

  • Cardiovascular Disease Physician
  • Waterville, ME
National Provider Identifier
1366883670
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD19744 Issued in ME
Practice address
244 Kennedy Memorial Dr
Waterville, ME 04901-4538
Phone
(207) 861-8030
Fax
(207) 860-8317
NPI assigned
Jul 15, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD19744 ME Primary

Addresses

Primary practice location

244 Kennedy Memorial Dr
Waterville, ME 04901-4538

Mailing address

244 Kennedy Memorial Dr
Waterville, ME 04901-4538
Phone (207) 861-8030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170426000090 NJ Practitioner - Cardiovascular Disease (Cardiology) 3476789256 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Service Fund of Deborah Heart and Lung CenterGroup PAC ID 4284537499, 118 clinicians
Deborah Cardiovascular Group, P.C.Group PAC ID 7618962549, 40 clinicians

Practice addresses (Care Compare)

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-6611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
76.65

Merit-based Incentive Payment System (MIPS)

Final score
95.33 of 100Reported as group
Quality
96.63
Promoting interoperability
99
Improvement activities
40
Cost
81.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001287NYMDMental Health Counselor
MD19744MEMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Cardiovascular Group, P.C. CurrentSince Apr 10, 2017 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Apr 1, 2023 Accepting new patients
Professional Service Fund of Deborah- Anesthesia Current Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Apr 1, 2023 Accepting new patients
Deborah Heart and Lung Center Current Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince Apr 10, 2017 Accepting new patients
A.G. Dikengil, MD, PA Past Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

Interoperability endpoints

  • Direct secure messaging: syed.rahmatullah.1@20099.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11366/brand/2/csg/1/fhir/r4
  • Direct secure messaging: medrecs@deborah.medalliesdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1366883670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014538",
            "telephone_number": "207-861-8030",
            "fax_number": "207-860-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014538",
            "telephone_number": "207-861-8030",
            "fax_number": "207-860-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMATULLAH",
        "first_name": "SYED",
        "middle_name": "IQBQL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ME",
            "license": "MD19744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.