Organization Active NPI

Matloob Rehman, M.D., LLC

  • Nephrology Physician
  • Madisonville, LA
National Provider Identifier
1992920318
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
199980 Issued in LA
Legal business name
MATLOOB REHMAN, M.D., LLC
Practice address
397 Highway 21
Ste 601
Madisonville, LA 70447-3407
Phone
(985) 845-9000
Fax
(985) 845-9003
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Dr. Matloob Ur Rehman, M.D.NPI 1902891633
Title
Owner
Phone
(985) 845-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 199980 LA Primary

Addresses

Primary practice location

397 Highway 21
Ste 601
Madisonville, LA 70447-3407

Mailing address

397 Highway 21
Ste 601
Madisonville, LA 70447-3407
Phone (985) 845-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070417000186 LA Part B Supplier - Clinic/Group Practice 4486759644 Receives reassigned benefits from 1 practitioner
Practice locations: Hammond, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1992920318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 HIGHWAY 21",
            "address_2": "STE 601",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473407",
            "telephone_number": "985-845-9000",
            "fax_number": "985-845-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 HIGHWAY 21",
            "address_2": "STE 601",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473407",
            "telephone_number": "985-845-9000",
            "fax_number": "985-845-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATLOOB REHMAN, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "REHMAN",
        "authorized_official_first_name": "MATLOOB",
        "authorized_official_middle_name": "UR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-845-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "199980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.