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Individual provider Active NPI

Matloob Ur Rehman, MD

  • Internal Medicine Physician
  • Independence, LA
National Provider Identifier
1902891633
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD199980 Issued in LA
Practice address
52579 Highway 51 S
Independence, LA 70443-2231
Phone
(985) 878-9421
Fax
(985) 878-1285
NPI assigned
Sep 19, 2005
Last updated
Feb 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD199980 LA Primary
Nephrology Physician 207RN0300X MD199980 LA

Addresses

Primary practice location

52579 Highway 51 S
Independence, LA 70443-2231

Mailing address

1310 Andorra LN
Covington, LA 70433-4545
Phone (985) 809-6963

Other identifiers 2

IdentifierTypeStateIssuer
00124874MedicaidMS
1476421MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050324000268 LA Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 2365400827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lallie Kemp Medical CtrGroup PAC ID 0345238903, 38 clinicians

Practice addresses (Care Compare)

42286 Veterans Ave
Hammond, LA 70403-1423
Phone (985) 345-8855

52579 Hwy 51 S
Independence, LA 70443-2231
Phone (985) 878-1349

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.64 of 100Reported as group
Quality
88.52
Promoting interoperability
100
Improvement activities
40
Cost
86.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD199980LAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lallie Kemp Medical Ctr CurrentSince Feb 1, 2005 Accepting new patients
Lallie Kemp Medical Ctr CurrentSince Feb 1, 2005 Accepting new patients
Matloob Rehman, M.D., LLC Nephrology CurrentSince Apr 1, 2007 Accepting new patients
Nes Louisiana Inc Past Accepting new patients

Locations

42286 Veterans Ave
Hammond, LA 70403
Phone (985) 345-8855

52579 Highway 51 S
Independence, LA 70443
Phone (985) 878-1349

397 Highway 21
#601
Madisonville, LA 70447
Phone (985) 845-9000

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.

Hospital & facility affiliations 9

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1902891633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 ANDORRA LN",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334545",
            "telephone_number": "985-809-6963",
            "fax_number": "985-876-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52579 HIGHWAY 51 S",
            "city": "INDEPENDENCE",
            "state": "LA",
            "postal_code": "704432231",
            "telephone_number": "985-878-9421",
            "fax_number": "985-878-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHMAN",
        "first_name": "MATLOOB",
        "middle_name": "UR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD199980",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "MD199980",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124874",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1476421",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, LA

Sources for this page

Verify at the official NPI Registry.