NPIMap

Individual provider Active NPI

Hafeez Ur Rehman, M.D.

  • Internal Medicine Physician
  • Amsterdam, NY
National Provider Identifier
1396761474
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
218133 Issued in NY
Practice address
2510 Riverfront Ctr
Amsterdam, NY 12010-4614
Phone
(518) 627-0469
Fax
(518) 842-3863
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 218133 NY Primary

Addresses

Primary practice location

2510 Riverfront Ctr
Amsterdam, NY 12010-4614

Mailing address

2510 Riverfront Ctr
Amsterdam, NY 12010-4614
Phone (518) 627-0469

Other identifiers 1

IdentifierTypeStateIssuer
02166732MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040329001680 NY Practitioner - Internal Medicine 3274425574 Reassigns benefits to 2 organizations
Practice locations: Amsterdam, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
New Dimensions in Living IncGroup PAC ID 8921089905, 5 clinicians

Practice addresses (Care Compare)

2420 Riverfront Ctr
Amsterdam, NY 12010-4612
Phone (518) 627-0469

40 Wall St
Amsterdam, NY 12010-4309
Phone (518) 843-2575

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Ballston Lake, NY, CCN 337401
  • Marquis Certified Home Care, LLC Home health agency, Albany, NY, CCN 337418
  • Ellis Hospital Hospital, Schenectady, NY, CCN 330153
  • St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047
  • Nathan Littauer Hospital Hospital, Gloversville, NY, CCN 330276

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hafeez Rehman MD PLLC CurrentSince Apr 13, 2019 Accepting new patients
New Dimensions in Living Inc CurrentSince Feb 1, 2017 Accepting new patients

Locations

40 Wall St
Amsterdam, NY 12010
Phone (518) 843-2575

2420 Riverfront Ctr
Amsterdam, NY 12010
Phone (518) 627-0469

2510 Riverfront Ctr
Amsterdam, NY 12010
Phone (518) 627-0469

Interoperability endpoints

  • Direct secure messaging: hafeez.rehman.1@11750.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11750/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Capstone Center for Rehabilitation and NursingAmsterdam, NY, CCN 335543 Skilled nursing facility Contracted Managing Employee Apr 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 9

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396761474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 RIVERFRONT CTR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120104614",
            "telephone_number": "518-627-0469",
            "fax_number": "518-842-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 RIVERFRONT CTR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120104614",
            "telephone_number": "518-627-0469",
            "fax_number": "518-842-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHMAN",
        "first_name": "HAFEEZ",
        "middle_name": "UR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "218133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02166732",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.