Individual provider Active NPI

Gopa Rahman, MD

  • Internal Medicine Physician
  • Poughkeepsie, NY
National Provider Identifier
1962503433
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
190938 Issued in NY
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

Updated by the provider on Oct 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
060019079OtherNYRAILROAD MEDICARE
01396625MedicaidNY

Other names 1

  • Dr. Gopa Rahman Other name

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
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 Hospital, Valhalla, NY, CCN 330234
  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mahboobur Rahman MD & Gopa Rahman MD Internal Medicine CurrentSince Jan 1, 1990 Accepting new patients

Locations

243 North Rd
Ste 201N
Poughkeepsie, NY 12601
Phone (845) 454-0370

Interoperability endpoints

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.