Active NPI
Mahfuzur Rahman, MD
- Nephrology Physician
- Sacramento, CA
National Provider Identifier
1447470554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A116452
- Practice address
- 333 University Ave Ste 120
Sacramento, CA 95825-6532 - Phone
- (916) 929-8564
- Fax
- (916) 929-4529
- NPI assigned
- Apr 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A116452 | CA | |
| Nephrology Physician | 207RN0300X | A116452 | CA | Primary |
Addresses
Primary practice location
333 University Ave Ste 120
Sacramento, CA 95825-6532
Mailing address
1111 Exposition Blvd Ste 300
Sacramento, CA 95815-4324
Phone (916) 929-8564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0015060 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140507001581 | CA | Practitioner - Nephrology | 4082709761 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Capital Nephrology Medical Group
Practice addresses (Care Compare)
1111 Exposition Blvd
Suite 300
Sacramento, CA 95815-4324
Phone (916) 564-6232
Hospital & facility affiliations
- DaVita Sunset Dialysis Center
- DaVita Florin Dialysis Center
- DaVita Alhambra Dialysis Center
- Sutter Medical Center, Sacramento
- Sutter Roseville Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A116452 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Nephrology Medical Group | Current | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients | |
| Hill Physicians Medical Group - PPO Program | Past | Accepting new patients | |
| Cosmo L Fraser, MD | Nephrology | Past | Accepting new patients |
| Ara-Yuba City Dialysis LLC | Past | Accepting new patients |
Locations
2218 Kausen Dr
Ste 103
Elk Grove, CA 95758
Phone (916) 683-8774
1111 Exposition Blvd
Ste 300
Sacramento, CA 95815
Phone (916) 564-6232
333 University Ave
Ste 120
Sacramento, CA 95825
Phone (916) 929-8564
520 Cottonwood St
Ste 2
Woodland, CA 95695
Phone (530) 668-3600
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 and National Provider Directory roles.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Yuba City, CA
- NPI 1356351670
-
- Preferred Provider Organization
- San Ramon, CA
- NPI 1679011035
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rancho Cordova, CA
- NPI 1699947895
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sacramento, CA
- NPI 1164481081
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sacramento, CA
- NPI 1881653244
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1447470554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 EXPOSITION BLVD STE 300",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154324",
"telephone_number": "916-929-8564",
"fax_number": "916-929-4529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 UNIVERSITY AVE STE 120",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958256532",
"telephone_number": "916-929-8564",
"fax_number": "916-929-4529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHMAN",
"first_name": "MAHFUZUR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-30",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A116452",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A116452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0015060",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.