Individual provider Active NPI

Shafeen Rahman, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1902149966
Registry record updated Mar 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T9021 Issued in TX
Practice address
1401 St Joseph Pkwy
Houston, TX 77002-8301
Phone
(713) 757-1000
NPI assigned
Mar 28, 2013
Last updated
Mar 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T9021 TX Primary

Addresses

Primary practice location

1401 St Joseph Pkwy
Houston, TX 77002-8301

Mailing address

1401 St Joseph Pkwy
Houston, TX 77002-8301

Other identifiers 1

IdentifierTypeStateIssuer
2075678MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170301001001 WA Practitioner - Internal Medicine 8729362231 Reassigns benefits to 3 organizations
I20230323002930 TX Practitioner - Internal Medicine 8729362231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T9021TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kittitas County Public Hospital Dist 1 Current Accepting new patients
Kittitas County Public Hosp Dist 1 CurrentSince Aug 16, 2022 Accepting new patients
Healthpoint CurrentSince Jul 26, 2021 Accepting new patients
Healthpoint CurrentSince Jul 26, 2021 Accepting new patients
Kittitas County Public Hospital Dist 1 CurrentSince Aug 16, 2022 Accepting new patients
Healthpoint Current Accepting new patients
Olympic Internal Medicine, Inc., P.S. Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
Healthpoint Past Accepting new patients

Locations

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

2704 I St NE
Auburn, WA 98002
Phone (253) 876-3415

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

2620 Wheaton Way
Bremerton, WA 98310
Phone (360) 377-3923

603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693

700 E Manitoba Ave
Ste 101
Ellensburg, WA 98926
Phone (509) 452-5378

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

325 W Gowe St
Kent, WA 98032

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

Organizations & group practices 8

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": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678579200000",
    "number": "1902149966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ST JOSEPH PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ST JOSEPH PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028301",
            "telephone_number": "713-757-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "SHAFEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2023-03-12",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T9021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2075678",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.