Individual provider Active NPI

Nasir Iqbal Rahmatullah, M.D.

  • Specialist
  • Kissimmee, FL
National Provider Identifier
1679503684
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0067241 Issued in FL
Practice address
1819 W Oak St
Kissimmee, FL 34741-4077
Phone
(407) 870-8220
Fax
(407) 900-2163
NPI assigned
Jul 4, 2006
Last updated
Aug 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0067241 FL Primary

Addresses

Primary practice location

1819 W Oak St
Kissimmee, FL 34741-4077

Mailing address

1819 W Oak St
Kissimmee, FL 34741-4077
Phone (407) 870-8220

Other identifiers 1

IdentifierTypeStateIssuer
376825200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20051115000317 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6608895065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine and Cardiology Associates PAGroup PAC ID 9032372107, 2 clinicians

Practice addresses (Care Compare)

1819 W Oak St
Kissimmee, FL 34741-4077
Phone (407) 870-8220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0067241FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine & Cardiology Associates PA Specialist CurrentSince Jan 1, 1999 Accepting new patients
Central Florida Cardiology Interpretations LLC CurrentSince Jun 16, 2012 Accepting new patients
Internal Medicine & Cardiology LLC Past Accepting new patients

Locations

1819 W Oak St
Kissimmee, FL 34741
Phone (407) 870-8220

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1679503684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414077",
            "telephone_number": "407-870-8220",
            "fax_number": "407-900-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414077",
            "telephone_number": "407-870-8220",
            "fax_number": "407-900-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMATULLAH",
        "first_name": "NASIR",
        "middle_name": "IQBAL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0067241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376825200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.