NPIMap

Individual provider Active NPI

Wasiq Rahman, MD

  • Cardiovascular Disease Physician
  • Patchogue, NY
National Provider Identifier
1407083454
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
287686 Issued in NY
Practice address
325 E Main St
Suite 120
Patchogue, NY 11772-3114
Phone
(631) 654-3278
Fax
(631) 654-1474
NPI assigned
Jun 17, 2009
Last updated
Apr 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD446120 PA
Cardiovascular Disease Physician 207RC0000X 287686 NY Primary

Addresses

Primary practice location

325 E Main St
Suite 120
Patchogue, NY 11772-3114

Mailing address

325 E Main St
Suite 120
Patchogue, NY 11772-3114
Phone (631) 654-3278

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
I20170629000251 NY Practitioner - Cardiovascular Disease (Cardiology) 1355590902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brookhaven Heart PLLCGroup PAC ID 6305846114, 24 clinicians

Practice addresses (Care Compare)

325 E Main St
Suite 120
Patchogue, NY 11772-3114
Phone (631) 654-3278

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.69 of 100Reported as group
Quality
75.07
Promoting interoperability
98
Improvement activities
40
Cost
74.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
287686NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookhaven Memorial Hospital Medical Center, Inc. CurrentSince Mar 6, 2018 Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Current Accepting new patients
Brookhaven Heart PLLC Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Long Island Community Hospital at NYU Langone Health CurrentSince Mar 6, 2018 Accepting new patients
Abington Memorial Hospital PastSince Jan 1, 2016 Accepting new patients

Locations

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

325 E Main St
Ste 120
Patchogue, NY 11772
Phone (631) 654-3278

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEFCAA
  • Direct secure messaging: wasiq.rahman@bh.eclinicaldirectplus.com
  • Direct secure messaging: wrahman307555@nyumc.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1407083454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E MAIN ST",
            "address_2": "SUITE 120",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723114",
            "telephone_number": "631-654-3278",
            "fax_number": "631-654-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E MAIN ST",
            "address_2": "SUITE 120",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723114",
            "telephone_number": "631-654-3278",
            "fax_number": "631-654-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "WASIQ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD446120",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "287686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.