Individual provider Active NPI

Rahman Rahimi, DO

  • General Practice Physician
  • Addison, TX
National Provider Identifier
1629633060
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
S8370 Issued in TX
Practice address
16633 Dallas Pkwy Ste 150
Addison, TX 75001-6812
Phone
(214) 701-6747
NPI assigned
May 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS18309 FL
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X S8370 TX Primary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 0S18309 FL

Addresses

Primary practice location

16633 Dallas Pkwy Ste 150
Addison, TX 75001-6812

Mailing address

8427 Ridgelea St
Dallas, TX 75209-2637
Phone (214) 701-6747

Other practice location 1

8551 Panama City Beach Pkwy Apt 7109
Panama City Beach, FL 32407-4092
Phone (214) 701-6747

Other practice location 2

Naval Medical Center San Diego 38400 Bob Wilson Dr
San Diego, CA 92134-5000
Phone (214) 701-6747

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425003249 TX Order and Referring Only - Emergency MedicinePractitioner - Emergency Medicine 9133592967

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0S18309FLMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
OS18309FLMDGeneral Practice Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1629633060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8427 RIDGELEA ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752092637",
            "telephone_number": "214-701-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16633 DALLAS PKWY STE 150",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016812",
            "telephone_number": "214-701-6747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8551 Panama City Beach Pkwy Apt 7109",
            "address_purpose": "LOCATION",
            "city": "Panama City Beach",
            "state": "FL",
            "postal_code": "324074092",
            "country_code": "US",
            "telephone_number": "214-701-6747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Naval Medical Center San Diego 38400 Bob Wilson Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921345000",
            "country_code": "US",
            "telephone_number": "214-701-6747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHIMI",
        "first_name": "RAHMAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-01",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS18309",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "S8370",
            "primary": true
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "0S18309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

Verify at the official NPI Registry.