Individual provider Active NPI

Manny Noah Rehman, MD

  • Gastroenterology Physician
  • Columbia, SC
National Provider Identifier
1487846903
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
96017 Issued in SC
Practice address
3 Richland Medical Park Dr Ste 120
Columbia, SC 29203-6850
Phone
(803) 434-8866
Fax
(803) 933-3049
NPI assigned
Aug 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD-43910 IA
Internal Medicine Physician 207R00000X 125-052771 IL
Gastroenterology Physician 207RG0100X 63655 WI
Gastroenterology Physician 207RG0100X 96017 SC Primary

Addresses

Primary practice location

3 Richland Medical Park Dr Ste 120
Columbia, SC 29203-6850

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 695-6697

Other practice location 1

1836 South Ave
LA Crosse, WI 54601-5429
Phone (608) 782-7300

Other practice location 2

1601 NW 114th St Ste 342
Clive, IA 50325-7036
Phone (515) 222-7600

Other identifiers 1

IdentifierTypeStateIssuer
036124368MedicaidIL

Other names 1

  • Abdul Rehman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN, IA, SC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20150813012413 WI Practitioner - Gastroenterology 6002946936 Reassigns benefits to 2 organizations
I20201216000447 MN Practitioner - Gastroenterology 6002946936 Reassigns benefits to 1 organization
I20251103001172 IA Practitioner - Gastroenterology 6002946936 Reassigns benefits to 1 organization
I20260225003591 SC Practitioner - Gastroenterology 6002946936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gundersen Lutheran Medical Center IncGroup PAC ID 2163331414, shared by 16 NPIs, 888 clinicians
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

1122 W Hwy 61
Winona, MN 55987-1957
Phone (507) 615-0600

1601 NW 114TH St
342 Mercyone Clive Gastroenterology Care CL
Clive, IA 50325-7036
Phone (515) 222-7600

1836 S Ave
La Crosse, WI 54601-5429
Phone (608) 783-7300

Hospital & facility affiliations

  • Gundersen Lutheran Medical Center Hospital, La Crosse, WI, CCN 520087
  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083
  • Gundersen Tri-County Hospital & Clinics Hospital, Whitehall, WI, CCN 521316
  • Gundersen Boscobel Area Hospital and Clinics Hospital, Boscobel, WI, CCN 521344

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy113
Upper gastrointestinal (GI) endoscopy for acid reflux326

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-052771ILMDInternal Medicine Physician
MD-43910IAMDGastroenterology Physician
96017SCMDGastroenterology Physician
63655WIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc. CurrentSince Sep 23, 2025 Accepting new patients
Mercy Clinics, Inc Gastroenterology CurrentSince Sep 23, 2025 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Jan 1, 2021 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Aug 1, 2015 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Mar 2, 2026 Accepting new patients
Prisma Health Medical Group-Midlands Internal Medicine CurrentSince Mar 2, 2026 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Gundersen Clinic LTD CurrentSince Aug 1, 2015 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Aug 1, 2015 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Aug 1, 2015 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
Memorial Expresscare, LLC Internal Medicine Past Accepting new patients
Gundersen Clinic, LTD. Past Accepting new patients

Locations

1601 NW 114th St
Ste 342
Clive, IA 50325
Phone (515) 222-7600

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

1122 W Highway 61
Winona, MN 55987
Phone (507) 615-0600

3 Richland Medical Park Dr
Ste 120
Columbia, SC 29203
Phone (803) 434-8866

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1836 South Ave
#301
La Crosse, WI 54601

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

Interoperability endpoints

  • Direct secure messaging: mrehman89813@direct.emplifyhealth.org
  • Direct secure messaging: mrehman4568598@direct.trinity-health.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1487846903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-695-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RICHLAND MEDICAL PARK DR STE 120",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036850",
            "telephone_number": "803-434-8866",
            "fax_number": "803-933-3049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1836 South Ave",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546015429",
            "country_code": "US",
            "telephone_number": "608-782-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 NW 114th St Ste 342",
            "address_purpose": "LOCATION",
            "city": "Clive",
            "state": "IA",
            "postal_code": "503257036",
            "country_code": "US",
            "telephone_number": "515-222-7600",
            "fax_number": "515-222-7601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REHMAN",
        "first_name": "MANNY",
        "middle_name": "NOAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "MD-43910",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125-052771",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "63655",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "96017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036124368",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABDUL",
            "last_name": "REHMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.