Individual provider Active NPI

Zaka U Rahman, MD

  • Cardiovascular Disease Physician
  • Jeffersonville, IN
National Provider Identifier
1376531194
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01032525A Issued in IN
Practice address
207 Sparks Ave Ste 101
Jeffersonville, IN 47130-3739
Phone
(812) 284-5411
Fax
(812) 284-0144
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01032525A IN
Cardiovascular Disease Physician 207RC0000X 23543 KY
Cardiovascular Disease Physician 207RC0000X 01032525A IN Primary

Addresses

Primary practice location

207 Sparks Ave Ste 101
Jeffersonville, IN 47130-3739

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 2

IdentifierTypeStateIssuer
64756760MedicaidKY
1000757730MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050630000553 KY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4183518889 Reassigns benefits to 1 organization
I20070823000962 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4183518889 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Clark Medical Group LLCGroup PAC ID 3971879354, 21 clinicians

Practice addresses (Care Compare)

1802 E 10TH St
Jeffersonville, IN 47130-6016
Phone (502) 244-9859

645 S Roy Wilkins Ave
Suite 200
Louisville, KY 40203-2072
Phone (502) 244-9859

Hospital & facility affiliations

  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
  • Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • University of Louisville Hospital Hospital, Louisville, KY, CCN 180141

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Norton Clark Physician Practices, LLC CurrentSince Aug 1, 2015 Accepting new patients
North Clark Medical Group LLC Cardiovascular Disease CurrentSince Feb 1, 2025 Accepting new patients
Community Medical Associates, Inc. Internal Medicine Current Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Medical Center Cardiologists, PSC Cardiovascular Disease Past Accepting new patients
Medical Center Cardiologists, PSC Cardiovascular Disease Past Accepting new patients
Medical Center Cardiologists, PSC Cardiovascular Disease Past Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

2100 Market St
Ste 101
Charlestown, IN 47111
Phone (812) 503-5100

11500 Highway 62
Charlestown, IN 47111
Phone (812) 256-0700

2205 Greentree N
Clarksville, IN 47129
Phone (812) 218-6560

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

2101 Broadway St
Clarksville, IN 47129
Phone (502) 365-4151

301 Gordon Gutmann Blvd
Ste 102
Jeffersonville, IN 47130
Phone (812) 218-6592

207 Sparks Ave
Ste 101
Jeffersonville, IN 47130
Phone (812) 280-7063

207 Sparks Ave
Ste 301
Jeffersonvlle, IN 47130
Phone (812) 280-5894

1804 E 10th St
Jeffersonvlle, IN 47130
Phone (502) 553-0810

207 Sparks Ave
Ste 100
Jeffersonvlle, IN 47130
Phone (812) 284-4357

1806 E 10th St
Jeffersonvlle, IN 47130
Phone (812) 285-5923

1802 E 10th St
Jeffersonvlle, IN 47130
Phone (502) 893-7744

207 Sparks Ave
Ste 300
Jeffersonvlle, IN 47130
Phone (812) 218-7978

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

3104 Blackiston Blvd
New Albany, IN 47150
Phone (502) 551-8305

1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500

7823 Old State Road 60
Sellersburg, IN 47172
Phone (812) 246-4272

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

680 S 4th St
Louisville, KY 40202
Phone (502) 596-6063

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

202 E Market St
Louisville, KY 40202

720 W Hill St
Louisville, KY 40208
Phone (502) 363-3164

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

645 S Roy Wilkins Ave
#200
Louisville, KY 40203
Phone (502) 561-0520

Organizations & group practices 10

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1376531194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SPARKS AVE STE 101",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303739",
            "telephone_number": "812-284-5411",
            "fax_number": "812-284-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "ZAKA",
        "middle_name": "U",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01032525A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "23543",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01032525A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64756760",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000757730",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.