Individual provider Active NPI

Mamunur Rahman, M.D.

  • Family Medicine Physician
  • Cordova, TN
National Provider Identifier
1497914386
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47513 Issued in TN
Practice address
584 N Germantown Pkwy
101
Cordova, TN 38018-5211
Phone
(901) 753-7686
NPI assigned
Jun 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47513 TN Primary
Family Medicine Physician 207Q00000X 21674 MS

Addresses

Primary practice location

584 N Germantown Pkwy
101
Cordova, TN 38018-5211

Mailing address

584 N Germantown Pkwy
101
Cordova, TN 38018-5211
Phone (901) 753-7686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20110808000424 TN Practitioner - Family Practice 4385813435 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21674MSMDFamily Medicine Physician
47513TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Jan 2, 2023 Accepting new patients
American Current Care P.a. CurrentSince Jan 2, 2023 Accepting new patients
T M Carr MD PC Past Accepting new patients

Locations

6413 Lee Hwy
Ste 107
Chattanooga, TN 37421
Phone (423) 225-3358

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1497914386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 N GERMANTOWN PKWY",
            "address_2": "101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380185211",
            "telephone_number": "901-753-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 N GERMANTOWN PKWY",
            "address_2": "101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380185211",
            "telephone_number": "901-753-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "MAMUNUR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "47513",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "21674",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.