Active NPI
Islam Abdel-Rahman, MD
- Anesthesiology Physician
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01083540A
- Practice address
- 5165 McCarty LN
Lafayette, IN 47905-8764 - Phone
- (765) 448-8000
- Fax
- (765) 868-4698
- NPI assigned
- Apr 5, 2016
- Last updated
- Jul 15, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01083540A | IN | Primary |
| Pediatric Anesthesiology Physician | 207LP3000X | P95998 | NY |
Addresses
Primary practice location
5165 McCarty LN
Lafayette, IN 47905-8764
Mailing address
1200 W White River Blvd
Muncie, IN 47303-4988
Phone (764) 747-4492
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300038584 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2041 Georgia Ave NW
Washington, DC 20060-0001
Phone (202) 865-6100
5 Garrett Ave
La Plata, MD 20646-5960
Phone (301) 609-4000
8905 Fairview Rd
Silver Spring, MD 20910-4150
Phone (888) 554-0631
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.03 of 100
- Quality
- 83.98
- Improvement activities
- 40
- Cost
- 76.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P95998 | NY | MD | Pediatric Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Anesthesia Services LLC | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Virginia, LLC | Anesthesiology | Current | Accepting new patients |
| US Anesthesia Partners of DC PC | Anesthesiology | Current | Accepting new patients |
| Ambulatory Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| First Colonies Anesthesia Associates, LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Company, LLC | Anesthesiology | Current | Accepting new patients |
| Arnett Clinic, LLC | Current | Accepting new patients |
Locations
2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785
8016 Reliable Pkwy
Chicago, IL 60686
2600 Greenbush St
Lafayette, IN 47904
626C Admiral Dr
#324
Annapolis, MD 21401
9001 Woodyard Rd
Ste B
Clinton, MD 20735
Phone (301) 868-4950
10400 Little Patuxent Pkwy
Ste 240
Columbia, MD 21044
Phone (321) 422-7110
6710 Oxon Hill Rd
Ste 500
Oxon Hill, MD 20745
Phone (240) 493-7533
11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
8905 Fairview Rd
Silver Spring, MD 20910
Phone (888) 554-0631
8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688
12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 776-3185
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
6355 Walker Ln
Ste 200
Alexandria, VA 22310
Phone (703) 922-9501
736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124
541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700
2710 Prosperity Ave
Ste 200
Fairfax, VA 22031
Phone (703) 650-2333
Interoperability endpoints
- iabdelrahman750689@direct.memorialcare.org
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- La Plata, MD
- NPI 1528747490
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
-
- Anesthesiology Physician
- Columbia, MD
- NPI 1710598859
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1487740957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1932562089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W WHITE RIVER BLVD",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473034988",
"telephone_number": "764-747-4492",
"fax_number": "317-222-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5165 MCCARTY LN",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479058764",
"telephone_number": "765-448-8000",
"fax_number": "765-868-4698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDEL-RAHMAN",
"first_name": "ISLAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-05",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01083540A",
"primary": true
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "NY",
"license": "P95998",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300038584",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.