Active NPI
Colon Rectal Surgery Associates PC
- Colon & Rectal Surgery Physician
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- Legal business name
- COLON RECTAL SURGERY ASSOCIATES PC
- Practice address
- 1255 S Cedar Crest Blvd
Suite 3900
Allentown, PA 18103-6256 - Phone
- (610) 402-1095
- Fax
- (610) 435-5003
- NPI assigned
- May 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mikhail I Rakhmanine, M.D.
- Title
- Physician/Owner
- Phone
- (484) 788-0840
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | Primary |
Addresses
Primary practice location
1255 S Cedar Crest Blvd
Suite 3900
Allentown, PA 18103-6256
Mailing address
1255 S. Cedar Crest Blvd
Suite 3900
Allentown, PA 18103-6256
Phone (484) 788-0852
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0827441000 | Other | PA | KEYSTONE EAST |
| 1514773 | Other | PA | GATEWAY HEALTH PLAN |
| 796986 | Other | PA | HIGHMARK BLUE SHIELD |
| 02352400 | Other | PA | CAPITAL BLUE CROSS |
| 619529 | Other | PA | AETNA HMO |
| 235H | Other | PA | GEISINGER HEALTH PLAN |
| DA9831 | Other | PA | RAILROAD MEDICARE |
| 0827441000 | Other | PA | AMERIHEALTH (IBC) |
| 1062660 | Other | PA | AMERIHEALTH MERCY |
| 796986 | Other | PA | KEYSTONE CENTRAL |
| 796986 | Other | PA | OXFORD HEALTH PLAN |
| 152887 | Other | PA | THREE RIVERS/UNISON |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0989451 | Colon Rectal Surgery Associates | Certificate of waiver | Sep 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
1230 S Cedar Crest Blvd
Ste 303
Allentown, PA 18103
Phone (610) 402-1095
3147 College Heights Blvd
Allentown, PA 18104
Phone (610) 841-2432
2045 Westgate Dr
Ste 305
Bethlehem, PA 18017
Phone (610) 867-0832
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Colon & Rectal Surgery Physician
- Allentown, PA
- NPI 1326028705
-
- Colon & Rectal Surgery Physician
- Allentown, PA
- NPI 1841328309
-
- Colon & Rectal Surgery Physician
- Allentown, PA
- NPI 1639601214
-
- Colon & Rectal Surgery Physician
- Allentown, PA
- NPI 1083690200
-
- Colon & Rectal Surgery Physician
- Allentown, PA
- NPI 1740574953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548892800000",
"number": "1629027388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 S. CEDAR CREST BLVD",
"address_2": "SUITE 3900",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036256",
"telephone_number": "484-788-0852",
"fax_number": "610-435-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 S CEDAR CREST BLVD",
"address_2": "SUITE 3900",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036256",
"telephone_number": "610-402-1095",
"fax_number": "610-435-5003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLON RECTAL SURGERY ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-09",
"last_updated": "2019-01-31",
"status": "A",
"authorized_official_last_name": "RAKHMANINE",
"authorized_official_first_name": "MIKHAIL",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "484-788-0840",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE EAST",
"identifier": "0827441000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "1514773",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "796986",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02352400",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "619529",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "235H",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DA9831",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH (IBC)",
"identifier": "0827441000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY",
"identifier": "1062660",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE CENTRAL",
"identifier": "796986",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "796986",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS/UNISON",
"identifier": "152887",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.