Individual provider Active NPI

Rahman Nakshabendi, MD

  • Gastroenterology Physician
  • Brandon, FL
National Provider Identifier
1750624086
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME130296 Issued in FL
Practice address
671 S Kings Ave
Brandon, FL 33511-6048
Phone
(813) 972-3750
NPI assigned
Apr 4, 2013
Last updated
Sep 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME130296 FL Primary

Addresses

Primary practice location

671 S Kings Ave
Brandon, FL 33511-6048

Mailing address

671 S Kings Ave
Brandon, FL 33511-6048
Phone (813) 972-3750

Other practice location 1

2312 Crestover Ln
Wesley Chapel, FL 33544-6790
Phone (813) 972-3750

Other practice location 2

14486 University Cove Pl
Tampa, FL 33613-3740
Phone (813) 972-3750

Other names 1

  • Dr. Ray Nakshabendi Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rnakshabendi@newtampagi.amazing-direct.com Imad Al-Nakshabendi M D P A

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
I20200915001382 FL Practitioner - Gastroenterology 9931326428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Imad Al-Nakshabendi M D P aGroup PAC ID 6406939503, 4 clinicians

Practice addresses (Care Compare)

14486 University Cove PL
Tampa, FL 33613-3740
Phone (813) 972-3750

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy227
Upper gastrointestinal (GI) endoscopy for acid reflux239

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Imad Al-Nakshabendi M D P a Gastroenterology CurrentSince Sep 15, 2020 Accepting new patients
Tampa General Hospital Current Accepting new patients
Bay Area Nutrition Inc PastSince Jan 29, 2025 Accepting new patients

Locations

671 S Kings Ave
Brandon, FL 33511
Phone (813) 972-3750

14486 University Cove Pl
Tampa, FL 33613
Phone (813) 252-2770

2312 Crestover Ln
Wesley Chapel, FL 33544
Phone (813) 972-3750

2312 Crestover Ln
Ste 101
Wesley Chapel, FL 33544
Phone (813) 501-8091

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: rahmannakshabendi@floridaagc.amazing-direct.com
  • Direct secure messaging: rnakshabendi176688@direct.tgh.org

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 5

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": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1750624086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 S KINGS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116048",
            "telephone_number": "813-972-3750",
            "fax_number": "813-972-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 S KINGS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116048",
            "telephone_number": "813-972-3750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2312 Crestover Ln",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335446790",
            "country_code": "US",
            "telephone_number": "813-972-3750",
            "fax_number": "813-972-3749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14486 University Cove Pl",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336133740",
            "country_code": "US",
            "telephone_number": "813-972-3750",
            "fax_number": "813-972-3749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAKSHABENDI",
        "first_name": "RAHMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME130296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rnakshabendi@newtampagi.amazing-direct.com",
            "affiliation": "Y",
            "affiliationName": "Imad Al-Nakshabendi M D P A",
            "address_1": "671 S Kings Ave",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335116048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RAY",
            "last_name": "NAKSHABENDI",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.