Individual provider Active NPI

Inam Ur Rahman, MD

  • Sports Medicine (Internal Medicine) Physician
  • Honolulu, HI
National Provider Identifier
1619048733
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
7993 Issued in HI
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

Updated by the provider on Dec 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
54351301MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051012000473 HI Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4183649718 Reassigns benefits to 2 organizations
I20141115000039 TX Practitioner - Internal MedicinePractitioner - Nuclear Medicine 4183649718 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric 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

LicenseStateTypeSpecialty
MD7993HIMDEmergency Medicine Physician
7993HIMDSports Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rosebud Indian Health Service CurrentSince Oct 2, 2015 Accepting new patients
Rosebud Indian Health Service CurrentSince Oct 2, 2015 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Oct 4, 2014 Accepting new patients
Sound Physicians of Hawaii Inc CurrentSince Jan 21, 2024 Accepting new patients
Department of Health & Human Services PHS IHS CurrentSince Nov 12, 2016 Accepting new patients
Galaxy Urgent Care Inc Sports Medicine CurrentSince Nov 25, 2021 Accepting new patients
Doctors' Inc PastSince Jan 1, 1990 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.