Individual provider Active NPI

Islam Abdel-Rahman, MD

  • Anesthesiology Physician
  • Lafayette, IN
National Provider Identifier
1932562089
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01083540A Issued in IN
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300038584MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20241122000894 MD Practitioner - Anesthesiology 4284928425 Reassigns benefits to 3 organizations
I20241122002548 DC Practitioner - Anesthesiology 4284928425 Reassigns benefits to 5 organizations
I20250303002028 VA Practitioner - Anesthesiology 4284928425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Company LLCGroup PAC ID 4587559026, 373 clinicians
Northstar Anesthesia of Maryland LLCGroup PAC ID 4284085796, 28 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
P95998NYMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Global Anesthesia Services LLC Anesthesiology CurrentSince Oct 19, 2024 Accepting new patients
Northstar Anesthesia of Virginia, LLC Anesthesiology CurrentSince Dec 15, 2024 Accepting new patients
US Anesthesia Partners of DC PC Anesthesiology CurrentSince Nov 1, 2024 Accepting new patients
Ambulatory Anesthesia Associates LLC Anesthesiology CurrentSince Nov 1, 2024 Accepting new patients
First Colonies Anesthesia Associates, LLC Anesthesiology CurrentSince Nov 1, 2024 Accepting new patients
Anesthesia Company, LLC Anesthesiology CurrentSince Dec 1, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.