NPIMap

Individual provider Active NPI

Faiz Rahman, MD

  • Family Medicine Physician
  • Dearborn, MI
National Provider Identifier
1598737041
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301080612 Issued in MI
Practice address
1816 Grindley Park St
Dearborn, MI 48124-2504
Phone
(313) 792-1200
Fax
(313) 792-1201
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301080612 MI Primary

Addresses

Primary practice location

1816 Grindley Park St
Dearborn, MI 48124-2504

Mailing address

1816 Grindley Park St
Ste 2
Dearborn, MI 48124-2504
Phone (313) 792-1200

Other identifiers 3

IdentifierTypeStateIssuer
0808294581OtherMIBCN IND
1598737041MedicaidMI
0808294581OtherMIBCBS IND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927000937 MI Practitioner - Family Practice 0244265478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dearborn Physical Therapy LTDGroup PAC ID 2668383910, shared by 2 NPIs, 97 clinicians

Practice addresses (Care Compare)

1816 Grindley Park St
Suite 1
Dearborn, MI 48124-2504
Phone (313) 792-1200

23852 Michigan Ave
Dearborn, MI 48124-1829

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301080612MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Urgent Care PLLC Family Medicine CurrentSince Jul 1, 2007 Accepting new patients

Locations

1816 Grindley Park St
Dearborn, MI 48124
Phone (313) 792-1200

1816 Grindley Park St
Ste 2
Dearborn, MI 48124
Phone (313) 792-1200

1816 Grindley Park St
Ste 1
Dearborn, MI 48124
Phone (313) 792-1200

Interoperability endpoints

  • Direct secure messaging: frahman1252083@epic00.shdirect.org

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1598737041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 GRINDLEY PARK ST",
            "address_2": "STE 2",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242504",
            "telephone_number": "313-792-1200",
            "fax_number": "313-792-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 GRINDLEY PARK ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242504",
            "telephone_number": "313-792-1200",
            "fax_number": "313-792-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "FAIZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301080612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN IND",
            "identifier": "0808294581",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598737041",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND",
            "identifier": "0808294581",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.