Active NPI
Mohammed F Rahman LLC
- Nephrology Physician
- The Villages, FL
National Provider Identifier
1497494124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- MOHAMMED F RAHMAN LLC
- Practice address
- 1451 El Camino Real
The Villages, FL 32159-0041 - Phone
- (516) 305-0264
- NPI assigned
- Jun 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammed Rahman
- Title
- Owner
- Phone
- (516) 305-0264
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
1451 El Camino Real
The Villages, FL 32159-0041
Mailing address
720 N US Highway 441 # 1044
Lady Lake, FL 32159-3194
Phone (516) 305-0264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220707001138 | FL | Part B Supplier - Clinic/Group Practice | 1355721457 |
Receives reassigned benefits from 4 practitioners Practice locations: Lady Lake, FL; Leesburg, FL; The Villages, FL |
National Provider Directory
National Provider DirectoryLocations
929 N US Highway 27/441
Ste 503
Lady Lake, FL 32159
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Lady Lake, FL
- NPI 1518227537
FL, Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654041600000",
"number": "1497494124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 N US HIGHWAY 441 # 1044",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321593194",
"telephone_number": "516-305-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 EL CAMINO REAL",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321590041",
"telephone_number": "516-305-0264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHAMMED F RAHMAN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-01",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A",
"authorized_official_last_name": "RAHMAN",
"authorized_official_first_name": "MOHAMMED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-305-0264"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.