RAHAMAT MANSARAY (MD) – Pediatric Sleep Medicine Physician, NPI 1114589264

RAHAMAT MANSARAY (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in SLEEP MEDICINE. They hold the professional credentials MD. They hold a License No. 4351045668 (MI). The NPI Number for RAHAMAT MANSARAY (MD) is 1114589264

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
RAHAMAT MANSARAY (MD)
NPI
1114589264
Phone
Not provided
Address
330 BARCLAY AVE NE STE 300
Enumeration Date
28 June 2019
Last Update Date
15 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9258204472
Graduation Year
2019 (7 years ago)
PAC ID
5294063665
Group Practice PAC ID
8325317209
Professional Enrollment ID
I20250530003111
Address ID
CA945381518FR39055STXX304
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

153 SLEEP MEDICINE in MI

Provider Addresses for RAHAMAT MANSARAY (MD)

  • 330 BARCLAY AVE NE STE 300

    GRAND RAPIDS, MI 495032527

    Phone:

    Type: Mailing

  • 859 MOUNT VERNON HWY NE STE 300

    ATLANTA, GA 303284255

    Phone: (404) 785-0588

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $222.

Total Amount is formed as General ($222) + Research ($0) + Ownership ($0) = $222.

Last reported payment date: 2023-09-19 • Largest payer in this snapshot: HARMONY BIOSCIENCES LLC ($104).

Total Amount

$222

General + Research + Ownership

Payments

8

Total payment records

General Amount

$222

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250530003111ISleep MedicineCATBD
I20260212003341ISleep MedicineOHTBD
I20260218000011ISleep MedicineGATBD
I20260310004893ISleep MedicineTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325317209View full group profile
NameSpecialtyState
Sleep Medicine, Internal MedicineCA
Internal Medicine, Sleep Medicine, Internal Medicine, Hospitalist, Sleep MedicineGA
Pulmonary Disease, Critical Care (Intensivists)CA
Sleep MedicineCA

Reviews

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Frequently asked questions

Does RAHAMAT MANSARAY (MD) have a public NPI I can cite?
Public records show RAHAMAT MANSARAY (MD) under NPI 1114589264.
Should I treat RAHAMAT MANSARAY (MD) as an active provider?
Patients and plans typically see RAHAMAT MANSARAY (MD) as active in the national extract.
What type of care does RAHAMAT MANSARAY (MD) provide?
RAHAMAT MANSARAY (MD)'s profile centers on Pediatric Sleep Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to RAHAMAT MANSARAY (MD)?
The directory associates RAHAMAT MANSARAY (MD) with Grand Rapids, Michigan. Check all listed addresses for suites or satellite offices.
Who maintains RAHAMAT MANSARAY (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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