Active NPI
Rahman Ilkhanizadeh, MD
- Vascular Surgery Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 146711
- Practice address
- 849 57TH Street
Ste 801
Brooklyn, NY 11220-3797 - Phone
- (718) 768-3560
- Fax
- (212) 500-3328
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 146711 | NY | |
| Vascular Surgery Physician | 2086S0129X | 146711 | NY | Primary |
Addresses
Primary practice location
849 57TH Street
Ste 801
Brooklyn, NY 11220-3797
Mailing address
180 Old Westbury Rd
Old Westbury, NY 11568-1100
Phone (718) 768-3560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00775553 | Medicaid | NY |
Other names 1
- Dr. Rahman Ilkhanizadeh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 1974
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
13249 41St Rd
Suite 1B
Flushing, NY 11355-4286
Phone (718) 799-0767
3039 Ocean Pkwy
Brooklyn, NY 11235-8378
Phone (718) 946-9070
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 138 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Medical Care PC | Current | Accepting new patients | |
| Aristahealth Medical Care PC | Current | Accepting new patients | |
| Long Island Surgery P.C. | Surgery | Current | Accepting new patients |
| Metropolitan Medical Practice Plan PC | Current | Accepting new patients | |
| Multicare Medical Diagnostics PC | Current | Accepting new patients | |
| Mihail Medvedovsky Physician PC | Current | Accepting new patients | |
| Mimi G Bansal, MD | Past | Accepting new patients | |
| Yakov Levy MD PC | Past | Accepting new patients | |
| Sunny Friendly Medical PC | Past | Accepting new patients |
Locations
3039 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 946-9070
13249 41st Rd
Ste 1C
Flushing, NY 11355
Phone (718) 799-0767
13249 41st Rd
Ste 1B
Flushing, NY 11355
Phone (718) 799-0767
1901 1st Ave
New York, NY 10029
Phone (212) 230-6262
133 E 58th St
Ste 1002
New York, NY 10022
Phone (212) 355-9400
4 Phyllis Dr
Patchogue, NY 11772
Phone (631) 289-4700
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1942304001
-
- Diagnostic Radiology Physician
- Flushing, NY
- NPI 1184104903
-
- General Practice Physician
- New York, NY
- NPI 1811257785
-
- Vascular & Interventional Radiology Physician
- Flushing, NY
- NPI 1508534470
-
- Surgery Physician
- Patchogue, NY
- NPI 1790716546
-
- General Practice Physician
- New York, NY
- NPI 1306138383
-
- Procedural Dermatology Physician
- Lake Success, NY
- NPI 1003978669
-
- Clinic/Center
- Flushing, NY
- NPI 1285077123
-
- Obstetrics Physician
- Forest Hills, NY
- NPI 1124204490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1750300950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 OLD WESTBURY RD",
"city": "OLD WESTBURY",
"state": "NY",
"postal_code": "115681100",
"telephone_number": "718-768-3560",
"fax_number": "212-500-3328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "849 57TH STREET",
"address_2": "STE 801",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203797",
"telephone_number": "718-768-3560",
"fax_number": "212-500-3328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILKHANIZADEH",
"first_name": "RAHMAN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "146711",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NY",
"license": "146711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00775553",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RAHMAN",
"last_name": "ILKHANIZADEH",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.