Individual provider Active NPI

Rahil Rafeedheen, M.D.

  • Interventional Cardiology Physician
  • Bowling Green, KY
National Provider Identifier
1649526716
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
51984 Issued in KY
Practice address
201 Park St
Bowling Green, KY 42101
Phone
(270) 783-3358
Fax
(270) 780-0471
NPI assigned
Jul 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P27641 MD
Interventional Cardiology Physician 207RI0011X 101673 GA
Interventional Cardiology Physician 207RI0011X 51984 KY Primary

Addresses

Primary practice location

201 Park St
Bowling Green, KY 42101

Mailing address

201 Park St
Bowling Green, KY 42101-1708
Phone (270) 783-3358

Other practice location 1

3635 Vista Ave
Saint Louis, MO 63110-2539
Phone (314) 268-7992

Other practice location 2

2200 Medical Center Blvd Ste 400
Lawrenceville, GA 30046-7769
Phone (678) 272-3699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250423001664 GA Practitioner - Interventional Cardiology 2668609991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2200 Medical Ctr Blvd
Suite 400
Lawrenceville, GA 30046-7769
Phone (770) 758-7482

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting74
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P27641MDMDInternal Medicine Physician
101673GAMDInterventional Cardiology Physician
51984KYMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Hospital, Inc. CurrentSince Apr 15, 2025 Accepting new patients
Northside CV Professional Services LLC CurrentSince Apr 15, 2025 Accepting new patients
Northside Hospital, Inc. Past Accepting new patients

Locations

2800 Buford Dr
Ste 320
Buford, GA 30519

2108 Teron Trce
Ste 100
Dacula, GA 30019
Phone (678) 312-9120

3855 Pleasant Hill Rd
Ste 250
Duluth, GA 30096
Phone (770) 497-1413

1276 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (706) 543-3200

1132 Athens Hwy
Ste 207
Grayson, GA 30017
Phone (678) 312-0300

2200 Medical Center Blvd
Ste 400
Lawrenceville, GA 30046
Phone (678) 272-3699

98 Tara Commons Dr
Loganville, GA 30052
Phone (678) 389-4147

5185 Peachtree Pkwy
Ste 240
Peachtree Corners, GA 30092
Phone (470) 242-0716

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1608 Tree Ln
Bldg C
Snellville, GA 30078
Phone (678) 344-4472

1120 Peachtree Industrial Blvd
Ste 208
Suwanee, GA 30024
Phone (678) 312-8400

4365 Johns Creek Pkwy
Ste 450
Suwanee, GA 30024
Phone (678) 417-9873

1120 Peachtree Industrial Blvd
Ste 209
Suwanee, GA 30024
Phone (678) 312-8400

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 3

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": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1649526716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011708",
            "telephone_number": "270-783-3358",
            "fax_number": "270-780-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42101",
            "telephone_number": "270-783-3358",
            "fax_number": "270-780-0471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3635 Vista Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631102539",
            "country_code": "US",
            "telephone_number": "314-268-7992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Medical Center Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300467769",
            "country_code": "US",
            "telephone_number": "678-272-3699",
            "fax_number": "770-290-8084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFEEDHEEN",
        "first_name": "RAHIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-26",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "P27641",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "101673",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "51984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.