Individual provider Active NPI

Rizwan Raheem, MD

  • Nephrology Physician
  • Allentown, PA
National Provider Identifier
1750136883
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MT230323 Issued in PA
Practice address
Valley Kidney Specialists
1230 S. Cedar Crest Blvd. Suite 304
Allentown, PA 18103
Phone
(610) 432-4529
NPI assigned
Apr 22, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MT230323 PA Primary

Addresses

Primary practice location

Valley Kidney Specialists
1230 S. Cedar Crest Blvd. Suite 304
Allentown, PA 18103

Mailing address

Lehigh Valley Health Network
PO Box 689
Allentown, PA 18105
Phone (610) 432-4529

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
I20241223002096 PA Order and Referring Only - NephrologyPractitioner - Nephrology 3072040591

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT230323PAMDNephrology Physician

Interoperability endpoints

  • Direct secure messaging: rraheem65500@direct.acumenmd.com

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1750136883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LEHIGH VALLEY HEALTH NETWORK",
            "address_2": "PO BOX 689",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18105",
            "telephone_number": "610-432-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VALLEY KIDNEY SPECIALISTS",
            "address_2": "1230 S. CEDAR CREST BLVD. SUITE 304",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18103",
            "telephone_number": "610-432-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHEEM",
        "first_name": "RIZWAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MT230323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.