MD Shafwanur Rahman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

P142296 Issued in NY

Practice address

318 S Albany St
Ithaca, NY 14850-5406

Phone

(607) 273-4166

Fax

(607) 277-7004

NPI assigned

Jun 2, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Internal Medicine

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mill Basin Medical Health PCGroup PAC ID 9133566128, 104 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mill Basin Medical Health PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1346006202
  Care Compare group NPD (past)

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

• Cayuga Medical Center at Ithaca

  • General Acute Care Hospital
  • Ithaca, NY
  • NPI 1962422733
  Care Compare affiliation

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1548192552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1583 E 66TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346005",
            "telephone_number": "516-862-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 S ALBANY ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505406",
            "telephone_number": "607-273-4166",
            "fax_number": "607-277-7004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Lockport",
            "state": "NY",
            "postal_code": "140946142",
            "country_code": "US",
            "telephone_number": "716-434-6361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1312 Caton Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112261002",
            "country_code": "US",
            "telephone_number": "718-693-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Oneonta",
            "state": "NY",
            "postal_code": "138201212",
            "country_code": "US",
            "telephone_number": "607-432-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "154 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129011399",
            "country_code": "US",
            "telephone_number": "518-563-5440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "257 State St",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "NY",
            "postal_code": "140201044",
            "country_code": "US",
            "telephone_number": "585-343-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "989 Blossom Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146102251",
            "country_code": "US",
            "telephone_number": "585-482-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28652 State Highway 23",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "NY",
            "postal_code": "121671712",
            "country_code": "US",
            "telephone_number": "607-652-7521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Beach Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146122011",
            "country_code": "US",
            "telephone_number": "585-663-0930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 Floyd Ave",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "NY",
            "postal_code": "134404535",
            "country_code": "US",
            "telephone_number": "315-336-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Merrick Ave",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115541578",
            "country_code": "US",
            "telephone_number": "516-222-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 Herkimer St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112333031",
            "country_code": "US",
            "telephone_number": "718-221-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 Beach 115th St",
            "address_purpose": "LOCATION",
            "city": "Rockaway Park",
            "state": "NY",
            "postal_code": "116942494",
            "country_code": "US",
            "telephone_number": "718-474-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2709 Transit Rd",
            "address_purpose": "LOCATION",
            "city": "Newfane",
            "state": "NY",
            "postal_code": "141089701",
            "country_code": "US",
            "telephone_number": "716-778-7111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Front St",
            "address_purpose": "LOCATION",
            "city": "Hempstead",
            "state": "NY",
            "postal_code": "115504600",
            "country_code": "US",
            "telephone_number": "516-505-4560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1205 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142091401",
            "country_code": "US",
            "telephone_number": "585-663-6368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "MD SHAFWANUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P142296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward James Radin, MD
• Radiology Associates of Ithaca PC
• Radomir D Stevanovic MD PC
• Linda Radomski, MD
• Anthony Alvaro Raggi, DMD
• Tasneem Rahman
• Nazar Rahmanov, MD
• Celeste M Rakovich, RN
• Aaron Rakow, PHD
• Manuel Ramirez

• Internal Medicine Physician in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.

Verify at the official NPI Registry.