Active NPI
Rahman Fazil Mohammed Abdul, M.D.
- Adult Medicine Physician
- Des Plaines, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 036.136984
- Practice address
- 9011 W Ballard Rd Apt 1a
Des Plaines, IL 60016-4987 - Phone
- (224) 717-9196
- NPI assigned
- Apr 8, 2013
- Last updated
- Jun 23, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 036.136984 | IL | Primary |
Addresses
Primary practice location
9011 W Ballard Rd Apt 1a
Des Plaines, IL 60016-4987
Mailing address
9011 W Ballard Rd Apt 1a
Des Plaines, IL 60016-4987
Phone (224) 717-9196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.136984 | IL | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Services of Texas PA | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas - Cypress PLLC | Current | Accepting new patients | |
| Sterling Initiatives | Current | Accepting new patients | |
| Sterling Initiatives | Current | Accepting new patients | |
| 24 Hour Physicians, Inc | Current | Accepting new patients | |
| Star MD, PLLC | Current | Accepting new patients |
Locations
26791 US Highway 380 E
Aubrey, TX 76227
Phone (972) 347-2525
504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361
1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161
620 S Main St
Keller, TX 76248
Phone (214) 294-6100
620 S Main St
Ste 100
Keller, TX 76248
Phone (214) 294-6100
511 W FM 544
Ste 100
Murphy, TX 75094
Phone (214) 294-6150
1604 West Ave
San Antonio, TX 78201
Phone (210) 572-8885
1498 Pacific Ave
Ste 500
Tacoma, WA 98402
Phone (253) 682-6040
Interoperability endpoints
- rahman.mohammedabdul.1@18822.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Spring, TX
- NPI 1396083424
-
- Emergency Medicine Physician
- Orange, TX
- NPI 1174932131
-
- Internal Medicine Physician
- Bonham, TX
- NPI 1184458838
-
- Hospitalist Physician
- Mesquite, TX
- NPI 1972059392
-
- Emergency Medicine Physician
- Hawkinsville, GA
- NPI 1295581973
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1326452947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1629411806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9011 W BALLARD RD APT 1A",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600164987",
"telephone_number": "224-717-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9011 W BALLARD RD APT 1A",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600164987",
"telephone_number": "224-717-9196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMMED ABDUL",
"first_name": "RAHMAN",
"middle_name": "FAZIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-08",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "IL",
"license": "036.136984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.