Individual provider Active NPI

Mohammed S Rahman, M.D.

  • Nephrology Physician
  • East Patchogue, NY
National Provider Identifier
1629279591
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
233199 Issued in NY
Practice address
260 Patchogue Yaphank Rd
East Patchogue, NY 11772-4886
Phone
(631) 654-8755
Fax
(631) 654-8709
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 233199 NY Primary

Addresses

Primary practice location

260 Patchogue Yaphank Rd
East Patchogue, NY 11772-4886

Mailing address

7515 Glenmore Ave
Ozone Park, NY 11417-1025
Phone (718) 845-0081

Other identifiers 2

IdentifierTypeStateIssuer
W38231OtherMEDICARE GROUP NUMBER
01891670MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041008000524 NY Practitioner - NephrologyPractitioner - Interventional Pain ManagementPractitioner - Internal Medicine 0840259446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

101 Hospital Rd
Patchogue, NY 11772-4870
Phone (631) 654-7100

Hospital & facility affiliations

  • DaVita East Patchogue Dialysis Dialysis facility, Patchogue, NY, CCN 332817
  • Long Island Community Hospital - West Main St Dialysis facility, Patchogue, NY, CCN 333527
  • DaVita Medford Kidney Center Dialysis facility, Medford, NY, CCN 332555
  • DaVita Selden Dialysis Dialysis facility, Selden, NY, CCN 332826
  • Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
43.89 of 100Reported as individual
Quality
39.79
Improvement activities
0
Cost
63.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233199-1NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Sep 20, 2024 Accepting new patients
North Shore-Lij Medical PC CurrentSince Sep 20, 2024 Accepting new patients
Cogent Medical Care PC Past Accepting new patients
Great South Bay Endoscopy Center, LLC Past Accepting new patients

Locations

260 Patchogue Yaphank Rd
Ste F
East Patchogue, NY 11772
Phone (631) 654-8755

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

101 Hospital Rd
Rm 263
Patchogue, NY 11772
Phone (631) 687-4131

300 Community Dr
Plandome, NY 11030

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mohammedrahman@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: mrahman504921@nyumc.direct-ci.com

Organizations & group practices 4

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1629279591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 GLENMORE AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171025",
            "telephone_number": "718-845-0081",
            "fax_number": "718-845-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 PATCHOGUE YAPHANK RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724886",
            "telephone_number": "631-654-8755",
            "fax_number": "631-654-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "MOHAMMED",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "233199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "W38231",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01891670",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

Verify at the official NPI Registry.