Active NPI
Anishur Rahman, DO
- Surgery Physician
- Johnson City, NY
National Provider Identifier
1467577924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 238622
- Practice address
- 30 Harrison St
Suite 320
Johnson City, NY 13790-2161 - Phone
- (607) 763-8205
- Fax
- (607) 763-8208
- NPI assigned
- Mar 20, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5101016695 | MI | |
| Surgery Physician | 208600000X | 238622 | NY | Primary |
Addresses
Primary practice location
30 Harrison St
Suite 320
Johnson City, NY 13790-2161
Mailing address
30 Harrison St
Suite 320
Johnson City, NY 13790-2161
Phone (607) 763-8205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Harrison St
Suite 455
Johnson City, NY 13790-2176
Phone (607) 763-8100
Hospital & facility affiliations
- United Health Services Hospitals, Inc
- Delaware Valley Hospital, Inc
- Our Lady of Lourdes Memorial Hospital, Inc
- Chenango Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 86.74
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.09
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 35 |
| Removal of tissue | 16 |
| Skin biopsy | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101016695 | MI | MD | Surgery Physician |
| 238622 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Health Services Hospitals, Inc. | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Past | Accepting new patients | |
| Fort Edward Rescue Squad Inc | Past | Accepting new patients |
Locations
33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156
30 Harrison St
Ste 320
Johnson City, NY 13790
Phone (607) 763-8205
30 Harrison St
Ste 455
Johnson City, NY 13790
Phone (607) 763-8100
Interoperability endpoints
- https://epicproxy.et1127.epichosted.com/FHIRproxy/api/FHIR/R4/
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.
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Critical Access Hospital Clinic/Center
- Walton, NY
- NPI 1144312646
-
- Critical Access Hospital
- Walton, NY
- NPI 1417940719
-
- Ambulance
- Fort Edward, NY
- NPI 1427031319
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norwich, NY
- NPI 1770593956
-
- Critical Access Hospital
- Walton, NY
- NPI 1417940719
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297987200000",
"number": "1467577924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 HARRISON ST",
"address_2": "SUITE 320",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137902161",
"telephone_number": "607-763-8205",
"fax_number": "607-763-8208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HARRISON ST",
"address_2": "SUITE 320",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137902161",
"telephone_number": "607-763-8205",
"fax_number": "607-763-8208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHMAN",
"first_name": "ANISHUR",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2011-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "5101016695",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "238622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.