Individual provider Active NPI

Maleka Rahman, D.O.

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1588976245
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036128847 Issued in IL
Practice address
5457 N Broadway St
Chicago, IL 60640-1703
Phone
(773) 409-4292
Fax
(773) 409-4298
NPI assigned
Jul 11, 2010
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 250921-1 NY
Ophthalmology Physician 207W00000X 036128847 IL Primary
Ophthalmology Physician 207W00000X 5101018547 MI

Addresses

Primary practice location

5457 N Broadway St
Chicago, IL 60640-1703

Mailing address

5457 N Broadway St
Chicago, IL 60640-1703
Phone (773) 409-4292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20110908002009 IL Practitioner - Ophthalmology 0042480667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5457 N Broadway St
Chicago, IL 60640-1703
Phone (773) 409-4292

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101018547MIMDOphthalmology Physician
250921-1NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M Rahman, D.O., S.C. Ophthalmology CurrentSince Sep 1, 2012 Accepting new patients

Locations

5457 N Broadway St
Chicago, IL 60640
Phone (707) 342-0832

Interoperability endpoints

  • Direct secure messaging: mrahman@broadwayeye.direct.eyemdemr.com

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.

Hospital & facility affiliations 1

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": "1278806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1588976245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5457 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401703",
            "telephone_number": "773-409-4292",
            "fax_number": "773-409-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5457 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401703",
            "telephone_number": "773-409-4292",
            "fax_number": "773-409-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "MALEKA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-11",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "250921-1",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036128847",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101018547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.