Individual provider Active NPI

Rahman Ilkhanizadeh, MD

  • Vascular Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1750300950
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
146711 Issued in NY
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

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00775553MedicaidNY

Other names 1

  • Dr. Rahman Ilkhanizadeh Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090619000350 NY Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Peripheral Vascular Disease 6002967742 Reassigns benefits to 6 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Peripheral Vascular Disease
Education
Other, 1974
Medicare assignment
May accept Medicare assignment
Group practices
Multicare Medical Diagnostics PCGroup PAC ID 1052742350, 3 clinicians
Mihail Medvedovsky Physician PCGroup PAC ID 3779474937, 12 clinicians

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

ProcedureNumber of procedures
Varicose vein removal138

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Medical Care PC CurrentSince Aug 20, 2022 Accepting new patients
Aristahealth Medical Care PC CurrentSince Nov 1, 2022 Accepting new patients
Long Island Surgery P.C. Surgery CurrentSince Oct 31, 2011 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Jul 1, 2011 Accepting new patients
Multicare Medical Diagnostics PC CurrentSince Apr 25, 2021 Accepting new patients
Mihail Medvedovsky Physician PC CurrentSince Feb 15, 2013 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.

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

Verify at the official NPI Registry.