Individual provider Active NPI

Atiq Ur Rahman, M.D.

  • Infectious Disease Physician
  • Baltimore, MD
National Provider Identifier
1396846812
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
D15403 Issued in MD
Practice address
3350 Wilkens Ave
Suite 202
Baltimore, MD 21229-4600
Phone
(443) 524-1220
Fax
(443) 524-1222
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X D15403 MD Primary

Addresses

Primary practice location

3350 Wilkens Ave
Suite 202
Baltimore, MD 21229-4600

Mailing address

3350 Wilkens Ave
Suite 202
Baltimore, MD 21229-4600
Phone (443) 524-1220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110103000585 MD Practitioner - Internal MedicinePractitioner - Infectious Disease 7113115346 Practice locations: Baltimore, MD

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D15403MDMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: arahman23588@direct.umm.edu

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396846812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 WILKENS AVE",
            "address_2": "SUITE 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294600",
            "telephone_number": "443-524-1220",
            "fax_number": "443-524-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 WILKENS AVE",
            "address_2": "SUITE 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294600",
            "telephone_number": "443-524-1220",
            "fax_number": "443-524-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "ATIQ",
        "middle_name": "UR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D15403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.