Active NPI
Inam Ur Rahman, MD
- Sports Medicine (Internal Medicine) Physician
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- 7993
- Practice address
- 50 S Beretania St
Suite C210 A1
Honolulu, HI 96813-2208 - Phone
- (808) 521-1165
- Fax
- (180) 852-1185
- NPI assigned
- Nov 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 7993 | HI | Primary |
| Emergency Medicine Physician | 207P00000X | MD7993 | HI |
Addresses
Primary practice location
50 S Beretania St
Suite C210 A1
Honolulu, HI 96813-2208
Mailing address
50 S Beretania St
Suite C210 A1
Honolulu, HI 96813-2208
Phone (808) 521-1165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54351301 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
50 S Beretania St
Suite C210B
Honolulu, HI 96813-2283
Phone (808) 521-1165
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD7993 | HI | MD | Emergency Medicine Physician |
| 7993 | HI | MD | Sports Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosebud Indian Health Service | Current | Accepting new patients | |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| Eagle Butte Indian Health Service Hospital | Current | Accepting new patients | |
| Sound Physicians of Hawaii Inc | Current | Accepting new patients | |
| Department of Health & Human Services PHS IHS | Current | Accepting new patients | |
| Galaxy Urgent Care Inc | Sports Medicine | Current | Accepting new patients |
| Doctors' Inc | Past | Accepting new patients |
Locations
50 S Beretania St
Ste C210B
Honolulu, HI 96813
Phone (808) 398-2753
79-1019 Haukapila St
Kealakekua, HI 96750
Phone (808) 322-4413
350 E Devon Ave
Itasca, IL 60143
425 7th St NW
Cass Lake, MN 56633
Phone (218) 335-3200
Interoperability endpoints
- inam.rahman.p1@direct.wcchc.nextgenshare.com
Organizations & group practices 8
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.
-
- Sports Medicine (Internal Medicine) Physician
- Honolulu, HI
- NPI 1538624069
-
- Internal Medicine Physician
- Kealakekua, HI
- NPI 1740658053
-
- Critical Access Hospital
- Cass Lake, MN
- NPI 1194754382
TX
-
- Public Health or Welfare Agency
- Eagle Butte, SD
- NPI 1558395848
TX
-
- Clinic/Center
- Honolulu, HI
- NPI 1497897938
-
- Ambulatory Surgical Clinic/Center
- Rosebud, SD
- NPI 1790955128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449792000000",
"number": "1619048733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 S BERETANIA ST",
"address_2": "SUITE C210 A1",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132208",
"telephone_number": "808-521-1165",
"fax_number": "180-852-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 S BERETANIA ST",
"address_2": "SUITE C210 A1",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132208",
"telephone_number": "808-521-1165",
"fax_number": "180-852-1185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHMAN",
"first_name": "INAM",
"middle_name": "UR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-11",
"last_updated": "2015-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "HI",
"license": "7993",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "HI",
"license": "MD7993",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54351301",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.