Individual provider Active NPI

Soroya M Rahaman, MD

  • Gastroenterology Physician
  • Plymouth, MA
National Provider Identifier
1669448049
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
75477 Issued in MA
Practice address
47 Obery St
Plymouth, MA 02360-2229
Phone
(508) 747-1560
Fax
(508) 747-5155
NPI assigned
Feb 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME148356 FL
Gastroenterology Physician 207RG0100X 75477 MA Primary

Addresses

Primary practice location

47 Obery St
Plymouth, MA 02360-2229

Mailing address

47 Obery St
Plymouth, MA 02360-2229
Phone (508) 747-1560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050503001184 MA Practitioner - Gastroenterology 7810964129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jordan Physician Associates IncGroup PAC ID 1254321086, 166 clinicians

Practice addresses (Care Compare)

47 Obery St
Suite 201
Plymouth, MA 02360-2229
Phone (508) 747-1560

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy229
Upper gastrointestinal (GI) endoscopy for acid reflux274

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Oct 1, 2013 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 1, 2013 Accepting new patients
Jordan Physician Associates, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Jordan Physician Associates, Inc. CurrentSince Jul 1, 2023 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

1 Pearl St
Ste 1200
Brockton, MA 02301
Phone (508) 232-6465

1 Pearl St
Ste 2700
Brockton, MA 02301
Phone (508) 584-4104

1 Pearl St
Ste 1800
Brockton, MA 02301
Phone (508) 586-9327

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920

47 Obery St
Plymouth, MA 02360
Phone (508) 746-8590

47 Obery St
Ste 201
Plymouth, MA 02360
Phone (508) 747-1560

Interoperability endpoints

  • Direct secure messaging: srahaman447953@direct.bilh.masshiway.net

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 1

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1669448049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 OBERY ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602229",
            "telephone_number": "508-747-1560",
            "fax_number": "508-747-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 OBERY ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602229",
            "telephone_number": "508-747-1560",
            "fax_number": "508-747-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHAMAN",
        "first_name": "SOROYA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME148356",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "75477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.