Individual provider Active NPI

Ahmed A Rahman, MD

  • Surgery Physician
  • Chesapeake, VA
National Provider Identifier
1962411660
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101034852 Issued in VA
Practice address
113 Gainsborough SQ Ste 400
Chesapeake, VA 23320-1714
Phone
(757) 842-4499
Fax
(757) 842-4490
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 01010134852 VA
Surgery Physician 208600000X 0101034852 VA Primary

Addresses

Primary practice location

113 Gainsborough SQ Ste 400
Chesapeake, VA 23320-1714

Mailing address

PO Box 11314
Belfast, ME 04915-4004
Phone (757) 842-4481

Other identifiers 9

IdentifierTypeStateIssuer
020001348OtherVAMEDICARE ID
326443OtherVAANTHEM
247408OtherVACIGNA
513294OtherMAMSI - VASCULAR
020041654OtherVAPALMETTO MEDICARE ID
35020OtherVAOPTIMA
413294OtherMAMSI - GENERAL
690570UMedicaidNC
7309562MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110314000307 VA Practitioner - General SurgeryPractitioner - Vascular Surgery 7911189832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Regional Medical GroupGroup PAC ID 8426113663, 148 clinicians

Practice addresses (Care Compare)

113 Gainsborough SQ
Chesapeake, VA 23320-1714

300 Medical Pkwy
Chesapeake, VA 23320-4985

736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-6102

744 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-3132

Hospital & facility affiliations

  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120

Merit-based Incentive Payment System (MIPS)

Final score
90.57 of 100Reported as group
Quality
87.01
Promoting interoperability
100
Improvement activities
40
Cost
81.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01010134852VAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Regional Medical Group Surgery CurrentSince Mar 9, 2020 Accepting new patients
Chesapeake Regional Medical Group CurrentSince Mar 9, 2020 Accepting new patients
Southern Surgical Associates, LLC Surgery Past Accepting new patients

Locations

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

112 Gainsborough Sq
Ste 100
Chesapeake, VA 23320
Phone (757) 312-8221

113 Gainsborough Sq
Ste 400
Chesapeake, VA 23320
Phone (757) 436-0167

Interoperability endpoints

  • Direct secure messaging: ahmed.rahman.1@5072.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1962411660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11314",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154004",
            "telephone_number": "757-842-4481",
            "fax_number": "757-312-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 GAINSBOROUGH SQ STE 400",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201714",
            "telephone_number": "757-842-4499",
            "fax_number": "757-842-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "AHMED",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "01010134852",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101034852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "020001348",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "326443",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "247408",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI - VASCULAR",
            "identifier": "513294",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO MEDICARE ID",
            "identifier": "020041654",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "35020",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI - GENERAL",
            "identifier": "413294",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690570U",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7309562",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.