Individual provider Active NPI

Ibrahim Rahman, MD

  • Psychiatry Physician
  • Bellevue, WA
National Provider Identifier
1548143167
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD70005401 Issued in WA
Practice address
15805 NE 28TH St
Bellevue, WA 98008-2127
Phone
(470) 760-2426
NPI assigned
Jul 30, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD70005401 WA Primary

Addresses

Primary practice location

15805 NE 28TH St
Bellevue, WA 98008-2127

Mailing address

15805 NE 28TH St
Bellevue, WA 98008-2127
Phone (470) 760-2426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20251230003334 WA Practitioner - Psychiatry 7911493820 Practice locations: Bellevue, WA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15805 NE 28TH St
Bellevue, WA 98008-2127
Phone (470) 760-2426

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD70005401WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Green Park Northwest Psychiatry LLC Psychiatry CurrentSince Oct 1, 2025 Accepting new patients

Locations

15805 NE 28th St
Bellevue, WA 98008
Phone (470) 760-2426

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1548143167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15805 NE 28TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082127",
            "telephone_number": "470-760-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15805 NE 28TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082127",
            "telephone_number": "470-760-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD70005401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.