DR. GHAZALA FARAH RAHMAN (M.D.) – Surgery Physician, NPI 1285690669
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. GHAZALA FARAH RAHMAN (M.D.)
200 1st St SW
Rochester, MN 559050001
Phone: (507) 284-2511
Type: Location
400 Maple Summit Rd
Jerseyville, IL 620522028
Phone: (618) 498-6402
Fax: (618) 498-8491
Type: Location
Wayne Municipal Airport, East 14th Street, Wayne County, Nebraska, 68787, United States
WAYNE, NJ 074744059
Phone: (973) 826-8291
Fax: (888) 972-6480
Type: Mailing
3SIXTY Marketing, 350, West Cedar Street, Pensacola, Escambia County, Florida, 32502, United States
PENSACOLA, FL 325024910
Phone: (800) 444-7009
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-02-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120824000254 | I | Thoracic Surgery | IL | TBD |
| I20171227000866 | I | Emergency Medicine | PA | TBD |
| I20190618001602 | I | General Surgery | NJ | TBD |
| I20230518001651 | I | General Surgery | VA | TBD |
| I20250224000380 | I | Emergency Medicine | CA | TBD |
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.
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 55905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA |
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