Khalique U. Rehman, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

054116 Issued in GA

Practice address

245 Village Center Pkwy
# 130
Stockbridge, GA 30281-9096

Phone

(770) 288-3311

Fax

(770) 288-3824

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Physical Medicine and RehabilitationAlso: Pain Management

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krehman@258.securemail.prognocis.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Pain Management and Rehabilitation Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Suwanee, GA
  • NPI 1235163221
  Medicare reassignment Authorized official
• Georgia Clinic, PC

  • Multi-Specialty Clinic/Center
  • Dunwoody, GA
  • NPI 1609816123
  Medicare reassignment NPD
• Advance Spinal Care of Georgia

  • Health Maintenance Organization
  • Alpharetta, GA
  • NPI 1962560649
  NPD (past)
• Sollage Pain Solutions of Georgia

  • General Practice Physician
  • Conyers, GA
  • NPI 1649210006
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1447296199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 VILLAGE CENTER PKWY STE 130",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819096",
            "telephone_number": "770-288-3311",
            "fax_number": "770-288-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 VILLAGE CENTER PKWY",
            "address_2": "# 130",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819096",
            "telephone_number": "770-288-3311",
            "fax_number": "770-288-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHMAN",
        "first_name": "KHALIQUE",
        "middle_name": "U.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "054116",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "054116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regenerative Orthopaedics and Spine Institute, LLC
• Regenerative Orthopaedics and Spine Institute, LLC
• Regenerative Orthopaedics Surgery Center, LLC
• Rehab Technologies, Inc.
• Rehabilitation Medicine and Emg Center
• Bianca Reid
• Joshua Reissig, OTR/L
• Renaissance Relations, Inc
• Renal Treatment Centers Mid Atlantic Inc
• Renu Wound Care LLC

• Physical Medicine & Rehabilitation Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.