NPIMap

Individual provider Active NPI

Nasiha Fahmi

  • Internal Medicine Physician
  • Orange, CT
National Provider Identifier
1629113980
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
039637 Issued in CT
Practice address
240 Indian River Rd
Suite C2
Orange, CT 06477-3649
Phone
(203) 795-3617
Fax
(203) 795-3618
NPI assigned
Feb 21, 2007
Last updated
Feb 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 039637 CT Primary

Addresses

Primary practice location

240 Indian River Rd
Suite C2
Orange, CT 06477-3649

Mailing address

PO Box 762
Orange, CT 06477-0762
Phone (203) 795-3617

Other identifiers 12

IdentifierTypeStateIssuer
201475344OtherCTCOMMERIAL
244430OtherCTWELLCARE
010039637CT05OtherCTANTHEM BCBS
2594704OtherCTGREAT WEST HEALTHCARE
P2546380OtherCTOXFORD
0Q3209OtherCTHEALTHNET
201475344OtherCTCIGNA
039637OtherCTCONNECTICARE
P00157811OtherCTU.S. RAILROAD MEDICARE
2633204OtherCTAETNA
001396375MedicaidCT
0407779OtherCTUNITED HEALTHCARE

Other names 1

  • Nasiha Rahman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20040922000837 CT Practitioner - Internal MedicinePractitioner - General Practice 4587632096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians

Practice addresses (Care Compare)

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

240 Indian River Rd
Suite C2
Orange, CT 06477-3691
Phone (203) 795-3617

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
30.31 of 100Reported as individual
Quality
26.12
Improvement activities
0
Cost
66.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039637CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Internal Medicine, LLC Internal Medicine CurrentSince Sep 1, 2004 Accepting new patients
Family Practice & Internal Medicine of Spring Gren LLC Internal Medicine Past Accepting new patients

Locations

240 Indian River Rd
Ste C2
Orange, CT 06477
Phone (203) 795-3617

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCADBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CCADBD/Endpoint/CCADBD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1629113980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 762",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064770762",
            "telephone_number": "203-795-3617",
            "fax_number": "203-795-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 INDIAN RIVER RD",
            "address_2": "SUITE C2",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773649",
            "telephone_number": "203-795-3617",
            "fax_number": "203-795-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHMI",
        "first_name": "NASIHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "039637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERIAL",
            "identifier": "201475344",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "244430",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "010039637CT05",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST HEALTHCARE",
            "identifier": "2594704",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2546380",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0Q3209",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "201475344",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "039637",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. RAILROAD MEDICARE",
            "identifier": "P00157811",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2633204",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001396375",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0407779",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NASIHA",
            "last_name": "RAHMAN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange, CT

Sources for this page

Verify at the official NPI Registry.