NPIMap

Individual provider Active NPI

Khaula Rehman, MD

  • Internal Medicine Physician
  • Binghamton, NY
National Provider Identifier
1568443521
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
218315 Issued in NY
Practice address
161 Riverside Dr
Suite M 09
Binghamton, NY 13905-4176
Phone
(607) 797-6363
NPI assigned
Nov 8, 2005
Last updated
Sep 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 218315 NY Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 218315 NY

Addresses

Primary practice location

161 Riverside Dr
Suite M 09
Binghamton, NY 13905-4176

Mailing address

161 Riverside Dr
Suite M 09
Binghamton, NY 13905-4176
Phone (607) 797-6363

Other identifiers 1

IdentifierTypeStateIssuer
02563344MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040810001158 NY Practitioner - Internal Medicine 8527030527 Reassigns benefits to 4 organizations
I20180530000266 PA Practitioner - Internal MedicinePractitioner - Sleep Medicine 8527030527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

161 Riverside Dr
Suite 306
Binghamton, NY 13905-4197
Phone (607) 798-6700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218315NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Lourdes Memorial Hospital, Inc. Internal Medicine Current Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. CurrentSince Nov 7, 2016 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Nov 7, 2016 Accepting new patients
Twin Tier Pathology Associates, PC Current Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Apr 1, 2016 Accepting new patients
Schuyler Sleep Physicians PastSince Jul 6, 2004 Accepting new patients
Zia H Shah M.D. Past Accepting new patients

Locations

161 Riverside Dr
Ste 306
Binghamton, NY 13905
Phone (607) 798-6700

161 Riverside Dr
Ste M09
Binghamton, NY 13905
Phone (607) 770-6363

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

Interoperability endpoints

  • Direct secure messaging: krehman196846@direct-guthrie.org

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1568443521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 RIVERSIDE DR",
            "address_2": "SUITE M 09",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054176",
            "telephone_number": "607-797-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 RIVERSIDE DR",
            "address_2": "SUITE M 09",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054176",
            "telephone_number": "607-797-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHMAN",
        "first_name": "KHAULA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "218315",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "218315",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02563344",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.