Individual provider Active NPI

Qamrunnisa Rahman, MD

  • Family Medicine Physician
  • Tonawanda, NY
National Provider Identifier
1922091685
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
213653 Issued in NY
Practice address
300 Two Mile Creek Rd
Tonawanda, NY 14150-6618
Phone
(716) 447-6450
Fax
(716) 447-6486
NPI assigned
Aug 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 213653 NY Primary

Addresses

Primary practice location

300 Two Mile Creek Rd
Tonawanda, NY 14150-6618

Mailing address

2875 Union Rd
Suite 21
Cheektowaga, NY 14227-1470
Phone (716) 706-2034

Other identifiers 1

IdentifierTypeStateIssuer
01988581MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040914000554 NY Practitioner - Family Practice 2163499625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wny Medical PCGroup PAC ID 9335191733, 44 clinicians

Practice addresses (Care Compare)

4979 Harlem Rd
Amherst, NY 14226-2547
Phone (716) 923-4380

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wny Medical PC Family Medicine CurrentSince May 7, 2018 Accepting new patients
Buffalo Medical Care PC CurrentSince Feb 1, 2022 Accepting new patients
Elder Medical Services PC CurrentSince Aug 1, 2004 Accepting new patients
Ipc Hospitalist Services of New York, P.C. Past Accepting new patients

Locations

4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

132 Cayuga Rd
Ste 1C
Cheektowaga, NY 14225
Phone (716) 204-9711

3333 Elmwood Ave
Kenmore, NY 14217
Phone (716) 874-1566

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

Interoperability endpoints

  • Direct secure messaging: qrahman@wnymedical.medentdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1922091685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 UNION RD",
            "address_2": "SUITE 21",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142271470",
            "telephone_number": "716-706-2034",
            "fax_number": "716-706-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TWO MILE CREEK RD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141506618",
            "telephone_number": "716-447-6450",
            "fax_number": "716-447-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "QAMRUNNISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "213653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01988581",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.