Individual provider Active NPI

Dilruba Rahman, CRNP, MSN

  • Pediatric Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1881896959
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
NP-08408 Issued in OH
Practice address
3101 Burnet Ave
Cincinnati, OH 45229-3014
Phone
(513) 357-7289
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X NP-08408 OH Primary

Addresses

Primary practice location

3101 Burnet Ave
Cincinnati, OH 45229-3014

Mailing address

3101 Burnet Ave
Cincinnati, OH 45229-3014
Phone (513) 357-7289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090616000009 OH Practitioner - Nurse Practitioner 0143370015 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
NP-08408OHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Cincinnati CurrentSince Apr 27, 2009 Accepting new patients
City of Cincinnati CurrentSince Apr 27, 2009 Accepting new patients
City of Cincinnati CurrentSince Jan 25, 2014 Accepting new patients
City of Cincinnati Current Accepting new patients
City of Cincinnati Past Accepting new patients
City of Cincinnati Past Accepting new patients

Locations

2030 Fairfax Ave
Cincinnati, OH 45207
Phone (513) 363-7800

1525 Elm St
Cincinnati, OH 45202
Phone (513) 357-7308

2750 Beekman St
Cincinnati, OH 45225
Phone (513) 352-3192

1930 Fricke Rd
Cincinnati, OH 45225
Phone (513) 357-7208

2520 Madison Rd
Cincinnati, OH 45208
Phone (513) 363-9110

1702 Grand Ave
Cincinnati, OH 45214
Phone (513) 363-4600

3917 Spring Grove Ave
Cincinnati, OH 45223
Phone (513) 357-7421

3101 Burnet Ave
Cincinnati, OH 45229
Phone (513) 357-7289

2121 Hatmaker St
Cincinnati, OH 45204
Phone (513) 363-0000

2146 Ferguson Rd
Cincinnati, OH 45238
Phone (513) 363-7200

2136 W 8th St
Cincinnati, OH 45204
Phone (513) 357-2700

5818 Madison Rd
Cincinnati, OH 45227
Phone (513) 271-6089

2411 Baltimore Ave
Cincinnati, OH 45225
Phone (513) 357-7208

Interoperability endpoints

  • Direct secure messaging: drahman33711@direct.ochin.org

Organizations & group practices 6

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1881896959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 BURNET AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293014",
            "telephone_number": "513-357-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 BURNET AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293014",
            "telephone_number": "513-357-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "DILRUBA",
        "name_prefix": "Mrs.",
        "credential": "CRNP, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "NP-08408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.