NPIMap

Individual provider Active NPI

Faraaz A. Rahman, M.D.

  • Interventional Cardiology Physician
  • Louisville, KY
National Provider Identifier
1417249970
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
50377 Issued in KY
Practice address
401 E Chestnut St Unit 310
Louisville, KY 40202-5703
Phone
(502) 588-4600
NPI assigned
May 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101264786 VA
Internal Medicine Physician 207R00000X 57.019702 OH
Cardiovascular Disease Physician 207RC0000X 62500-20 WI
Interventional Cardiology Physician 207RI0011X 50377 KY Primary

Addresses

Primary practice location

401 E Chestnut St Unit 310
Louisville, KY 40202-5703

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-4600

Other practice location 1

2001 Crystal Spring Ave SW Ste 203
Roanoke, VA 24014-2465
Phone (540) 982-8204

Other practice location 2

207 Sparks Ave Ste 100
Jeffersonville, IN 47130-3739
Phone (812) 284-5411

Other identifiers 2

IdentifierTypeStateIssuer
300003797MedicaidIN
7100615390MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address frahman161288@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191001002379 IN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6709011380 Reassigns benefits to 3 organizations
I20200528000897 KY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6709011380 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Cincinnati College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Louisville Physicians IncGroup PAC ID 3476725599, shared by 5 NPIs, 1,438 clinicians

Practice addresses (Care Compare)

213 Hunter Station Rd
Sellersburg, IN 47172-1879
Phone (812) 248-2560

401 E Chestnut St
Suite 310
Louisville, KY 40202-5703
Phone (502) 584-8563

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101264786VAMDInternal Medicine Physician
62500-20WIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Norton Clark Physician Practices, LLC Internal Medicine CurrentSince Aug 21, 2019 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
University of Louisville Physicians, Inc Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 27, 2022 Accepting new patients
University of Louisville Physicians, Inc. Internal Medicine Current Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Community Medical Associates, Inc. Internal Medicine Current Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
University of Louisville Physicians, Inc. Cardiovascular Disease CurrentSince Jul 27, 2022 Accepting new patients
Uofl Health-Louisville Inc Past Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

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

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

1263 Hospital Dr NW
Ste 210
Corydon, IN 47112
Phone (502) 636-7242

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

207 Sparks Ave
Ste 200
Jeffersonvlle, IN 47130
Phone (812) 283-4441

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

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

213 Hunter Station Rd
Sellersburg, IN 47172
Phone (812) 248-2560

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

401 E Chestnut St
Unit 310
Louisville, KY 40202
Phone (502) 584-8563

6420 Dutchmans Pkwy
Ste 200
Louisville, KY 40205
Phone (502) 891-8333

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

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

4420 Dixie Hwy
Ste 118
Louisville, KY 40216
Phone (502) 447-3448

Interoperability endpoints

  • Direct secure messaging: frahman104535@direct.carilionclinic.org

Organizations & group practices 12

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 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1417249970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHESTNUT ST UNIT 310",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402025703",
            "telephone_number": "502-588-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Crystal Spring Ave SW Ste 203",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240142465",
            "country_code": "US",
            "telephone_number": "540-982-8204",
            "fax_number": "540-224-1059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 Sparks Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471303739",
            "country_code": "US",
            "telephone_number": "812-284-5411",
            "fax_number": "812-284-0144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "FARAAZ",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-03",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101264786",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.019702",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "62500-20",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "50377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300003797",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100615390",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frahman161288@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "207 Sparks Ave Ste 100",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471303739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "207 Sparks Ave Ste 100",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471303739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.