Individual provider Active NPI

Atira Rahman, MD

  • Pediatrics Physician
  • Allentown, PA
National Provider Identifier
1679637409
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD425097 Issued in PA
Practice address
450 W Chew St
Sigal Center 2ND Floor
Allentown, PA 18102-3434
Phone
(610) 776-5160
Fax
(610) 606-4457
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD425097 PA Primary

Addresses

Primary practice location

450 W Chew St
Sigal Center 2ND Floor
Allentown, PA 18102-3434

Mailing address

421 W Chew St
Physician Accounts
Allentown, PA 18102-3406
Phone (610) 776-5100

Other identifiers 7

IdentifierTypeStateIssuer
1925006OtherPAHIGHMARK BLUE SHIELD
CAPITAL BLUE CROSSOtherPA50065416
2793782000OtherPAIBC
P008305OtherPAGATEWAY HEALTH PLAN
1018415970001MedicaidPA
000000200056OtherPAUNISON HEALTH PLAN
AMERIHEALTH MERCYOtherPA20058816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230418002657 PA Practitioner - Pediatric Medicine 6406221738 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc CurrentSince Jan 7, 2023 Accepting new patients
Star Community Health, Inc CurrentSince Jan 7, 2023 Accepting new patients

Locations

450 Chew St
Fl 2
Allentown, PA 18102
Phone (310) 776-5105

450 Chew St
Allentown, PA 18102
Phone (610) 776-4802

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1679637409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W CHEW ST",
            "address_2": "PHYSICIAN ACCOUNTS",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023406",
            "telephone_number": "610-776-5100",
            "fax_number": "610-663-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W CHEW ST",
            "address_2": "SIGAL CENTER 2ND FLOOR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023434",
            "telephone_number": "610-776-5160",
            "fax_number": "610-606-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "ATIRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD425097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1925006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "50065416",
            "identifier": "CAPITAL BLUE CROSS",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2793782000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "P008305",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018415970001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "000000200056",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "20058816",
            "identifier": "AMERIHEALTH MERCY",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.