Individual provider Active NPI

Adeebur Rahman, M.D.

  • Internal Medicine Physician
  • Tinley Park, IL
National Provider Identifier
1437143013
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-084215 Issued in IL
Practice address
16650 Harlem Ave
Tinley Park, IL 60477-1847
Phone
(708) 342-3000
Fax
(708) 343-3040
NPI assigned
Sep 9, 2005
Last updated
Jul 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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 036-084215 IL Primary

Addresses

Primary practice location

16650 Harlem Ave
Tinley Park, IL 60477-1847

Mailing address

16650 Harlem Ave
Tinley Park, IL 60477-1847
Phone (708) 342-3000

Other identifiers 1

IdentifierTypeStateIssuer
036084215MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050727000661 IL Practitioner - Internal Medicine 8921905399 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-084215ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Natarajan Medical Group of Illinois, PC CurrentSince May 19, 2024 Accepting new patients
Primary Care Partners LLC Internal Medicine Past Accepting new patients
Transitions of Care, PLLC Internal Medicine Past Accepting new patients

Locations

606 Potter Rd
Des Plaines, IL 60016
Phone (800) 570-8809

6400 Shafer Ct
Ste 300
Rosemont, IL 60018
Phone (800) 570-8809

17855 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 201-3800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1437143013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16650 HARLEM AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771847",
            "telephone_number": "708-342-3000",
            "fax_number": "708-343-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16650 HARLEM AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771847",
            "telephone_number": "708-342-3000",
            "fax_number": "708-343-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "ADEEBUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-084215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036084215",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.