Active NPI
Gopa Rahman, MD
- Internal Medicine Physician
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 190938
- Practice address
- 243 North Rd Suite 201N
243 North Rd Suite 201
Poughkeepsie, NY 12601 - Phone
- (845) 454-0370
- Fax
- (845) 454-6017
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 190938 | NY | Primary |
Addresses
Primary practice location
243 North Rd Suite 201N
243 North Rd Suite 201
Poughkeepsie, NY 12601
Mailing address
243 North Rd Suite 201N
243 North Rd Suite 201N
Poughkeepsie, NY 12601
Phone (845) 454-0370
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060019079 | Other | NY | RAILROAD MEDICARE |
| 01396625 | Medicaid | NY |
Other names 1
- Dr. Gopa Rahman
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100302000438 | NY | Practitioner - Internal Medicine | 5193860195 | Practice locations: Poughkeepsie, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
243 N Rd
Poughkeepsie, NY 12601-1173
Phone (845) 454-0370
Hospital & facility affiliations
- Westchester Medical Center
- Vassar Brothers Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mahboobur Rahman MD & Gopa Rahman MD | Internal Medicine | Current | Accepting new patients |
Locations
243 North Rd
Ste 201N
Poughkeepsie, NY 12601
Phone (845) 454-0370
Interoperability endpoints
- grahman@direct.health-quest.org
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Poughkeepsie, NY
- NPI 1033350426
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223510400000",
"number": "1962503433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 NORTH RD SUITE 201N",
"address_2": "243 NORTH RD SUITE 201N",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "12601",
"telephone_number": "845-454-0370",
"fax_number": "845-454-6017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 NORTH RD SUITE 201N",
"address_2": "243 NORTH RD SUITE 201",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "12601",
"telephone_number": "845-454-0370",
"fax_number": "845-454-6017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHMAN",
"first_name": "GOPA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2008-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "190938",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060019079",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01396625",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GOPA",
"last_name": "RAHMAN",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.