Individual provider Active NPI

Jamil Rehman, M.D.

  • Urology Physician
  • Brandon, FL
National Provider Identifier
1841227667
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME81146 Issued in FL
Practice address
620 Eichenfeld Dr
Brandon, FL 33511-5973
Phone
(813) 653-3737
Fax
(813) 653-2525
NPI assigned
Jun 27, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME81146 FL Primary

Addresses

Primary practice location

620 Eichenfeld Dr
Brandon, FL 33511-5973

Mailing address

P O Box 2691
Brandon, FL 33509-2691
Phone (813) 653-3737

Other practice location 1

128 S Moon Ave
Brandon, FL 33511-5110
Phone (813) 653-3737

Other identifiers 1

IdentifierTypeStateIssuer
ME 81146OtherFLFL STATE LICENSE

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
I20100730000342 FL Practitioner - Urology 4385793835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

620 Eichenfeld Dr
Brandon, FL 33511-5973
Phone (813) 653-3737

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81146FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Florida Urology Oncology and Urogynecology LLC Urology Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHDICA
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHDICA/Endpoint/AHDICA
  • Direct secure messaging: jrehman8801@direct.tgh.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1841227667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 2691",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335092691",
            "telephone_number": "813-653-3737",
            "fax_number": "813-653-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 EICHENFELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115973",
            "telephone_number": "813-653-3737",
            "fax_number": "813-653-2525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 S Moon Ave",
            "address_purpose": "LOCATION",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115110",
            "country_code": "US",
            "telephone_number": "813-653-3737",
            "fax_number": "813-653-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REHMAN",
        "first_name": "JAMIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME81146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL STATE LICENSE",
            "identifier": "ME 81146",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.