Individual provider Active NPI

Kinan Rahal, MD

  • Gastroenterology Physician
  • Sarasota, FL
National Provider Identifier
1639278708
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
49362 Issued in KY
Practice address
3333 Cattlemen Rd Ste 202
Sarasota, FL 34232-6058
Phone
(941) 342-8892
Fax
(941) 342-8893
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 49362 KY
Gastroenterology Physician 207RG0100X 49362 KY Primary

Addresses

Primary practice location

3333 Cattlemen Rd Ste 202
Sarasota, FL 34232-6058

Mailing address

3333 Cattlemen Rd Ste 202
Sarasota, FL 34232-6058
Phone (941) 342-8892

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kinan.Rahal@img.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140319002028 SC Practitioner - Gastroenterology 3577563642 Reassigns benefits to 1 organization
I20170807002702 FL Practitioner - Gastroenterology 3577563642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians

Practice addresses (Care Compare)

3333 Cattlemen Rd
Suite 202
Sarasota, FL 34232-6058
Phone (941) 342-8892

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy373
Upper gastrointestinal (GI) endoscopy for acid reflux745

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Sep 1, 2016 Accepting new patients
Prisma Health Medical Group-Midlands Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Intercoastal Medical Group Inc Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients

Locations

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

3333 Cattlemen Rd
Ste 202
Sarasota, FL 34232
Phone (941) 342-8892

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

2739 Laurel St
Ste 1A
Columbia, SC 29204
Phone (803) 799-4800

Interoperability endpoints

  • Direct secure messaging: kinan.rahal@img.directbygreenway.com

Organizations & group practices 3

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 4

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1639278708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CATTLEMEN RD STE 202",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326058",
            "telephone_number": "941-342-8892",
            "fax_number": "941-342-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CATTLEMEN RD STE 202",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326058",
            "telephone_number": "941-342-8892",
            "fax_number": "941-342-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHAL",
        "first_name": "KINAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "49362",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "49362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kinan.Rahal@img.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3333 Cattlemen Rd Ste 202",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342326058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.