Shahzad Rahman, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101051872 Issued in VA

Practice address

The Renascence Center
46 S Glebe Road, Suite 103
Arlington, VA 22204

Phone

(703) 521-6004

Fax

(703) 521-6342

NPI assigned

Apr 6, 2006

Last updated

Oct 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Shahzad Rahman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 30, 2015 through Sep 30, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Renascence Center, LLC

  • Mental Health Counselor
  • Arlington, VA
  • NPI 1508156266
  NPD (past)
• Behavioral Psychiatric & Psychological Associates, P.C.

  • Mental Health Counselor
  • Raynham, MA
  • NPI 1578674032
  NPD (past)
• Narayanan Ramesh MD PA

  dba Green Ridge Behavioral Health

  • Psychiatry Physician
  • Gaithersburg, MD
  • NPI 1497769616
  NPD (past)
• Psychogeriatric Services LLC

  • Psychiatry Physician
  • Columbia, MD
  • NPI 1588689483
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1982667580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 GREENSBORO DR UNIT 120",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023535",
            "telephone_number": "703-200-1721",
            "fax_number": "703-521-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE RENASCENCE CENTER",
            "address_2": "46 S GLEBE ROAD, SUITE 103",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22204",
            "telephone_number": "703-521-6004",
            "fax_number": "703-521-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "SHAHZAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2020-10-02",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101051872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #52-2349362 BCBS",
            "identifier": "64888803",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010257697",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOR TAX ID #52-2349362",
            "identifier": "S288-0005",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAHZAD",
            "last_name": "RAHMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laurel Cargill Radley, MS, OTR/L
• Thomas Cade Raggio, M.D.
• Laura Ragins, PSY.D.
• Anissa Rahman, M.D.
• Naila T Rahman
• Rain Walker Healing LLC (Rain Walker Healing)
• Jamuna D Raju, M.D.
• Alisa Rakhmatullova, MD
• Thomas Anthony Rakowski, M.D.
• Bini Ramachandran

• Psychiatry Physician in Arlington, VA
• Providers in Arlington, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.