NPIMap

Individual provider Active NPI

Ra'Kerry Kahlil Rahman, MD

  • Orthopaedic Surgery of the Spine Physician
  • Houston, TX
National Provider Identifier
1972752228
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
R1277 Issued in TX
Practice address
7700 Main St Ste 400
Houston, TX 77030-4456
Phone
(346) 250-2590
Fax
(281) 836-4453
NPI assigned
Sep 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X R1277 TX Primary

Addresses

Primary practice location

7700 Main St Ste 400
Houston, TX 77030-4456

Mailing address

1211 Marconi St
Houston, TX 77019-4209
Phone (646) 422-9498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190424000241 TX Practitioner - Orthopedic Surgery 2961673082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Rochester School of Medicine and Dentistry, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7700 Main St
Suite 400
Houston, TX 77030-4456

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion25
Laminectomy or laminotomy (partial removal of spine bones)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Round Table Specialist Group, PLLC CurrentSince Mar 1, 2020 Accepting new patients
Round Table Physicians Group PLLC Current Accepting new patients
Texas Regenerative Wellness PLLC PastSince Jun 8, 2025 Accepting new patients
Houston Kidney Specialists Center PLLC Past Accepting new patients

Locations

5701 W Slaughter Ln
Bldg G
Austin, TX 78749
Phone (512) 651-5787

11103 Westheimer Rd
#C
Houston, TX 77042

1014 Wirt Rd
Ste 200
Houston, TX 77055
Phone (713) 527-5000

800 W Central Texas Expy
Killeen, TX 76541
Phone (254) 220-4117

Interoperability endpoints

  • Direct secure messaging: ra.kerry.rahman.1@13131.direct.athenahealth.com
  • Direct secure messaging: ra.kerry.rahman.1@19705.direct.athenahealth.com
  • Direct secure messaging: ra.kerry.rahman.1@19707.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19285/brand/4/csg/1/fhir/r4

Organizations & group practices 4

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 6

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": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1972752228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 MARCONI ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770194209",
            "telephone_number": "646-422-9498",
            "fax_number": "210-988-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 MAIN ST STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304456",
            "telephone_number": "346-250-2590",
            "fax_number": "281-836-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "RA'KERRY",
        "middle_name": "KAHLIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-11",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "R1277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.