ABDUL RAHMAN (M.D) – Critical Care Medicine (Internal Medicine) Physician, NPI 1033554142

ABDUL RAHMAN (M.D) is a healthcare provider. based in Nutley, New Jersey. specializing in CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. R55000088140 (IL). The NPI Number for ABDUL RAHMAN (M.D) is 1033554142

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
ABDUL RAHMAN (M.D)
NPI
1033554142
Phone
(847) 387-2824
Address
17 CHURCH ST 6
Enumeration Date
2 May 2013
Last Update Date
27 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4438492658
Graduation Year
2013 (13 years ago)
PAC ID
8820391279
Group Practice PAC ID
1759276975
Professional Enrollment ID
I20190321001020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

580 CRITICAL CARE (INTENSIVISTS) in NJ

Provider Addresses for ABDUL RAHMAN (M.D)

  • 17 CHURCH ST 6

    NUTLEY, NJ 071101675

    Phone: (847) 387-2824

    Type: Mailing

  • 1 BAY AVE

    MONTCLAIR, NJ 070424837

    Phone: (973) 429-6000

    Type: Location

  • PO BOX 37174

    BALTIMORE, MD 212973174

    Phone: (571) 423-5699

    Fax: (571) 423-5698

    Type: Mailing

  • 1 Bay Ave

    Montclair, NJ 070424837

    Phone: (973) 429-6000

    Type: Location

  • 4320 SEMINARY RD

    ALEXANDRIA, VA 223041535

    Phone: (703) 504-3000

    Fax: (703) 504-3388

    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: 2023-02-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20180612000317ICritical Care (Intensivists)DCTBD
I20190321001020ICritical Care (Intensivists)MDTBD
I20230206000253ICritical Care (Intensivists)VATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes240160$0
99292Critical care, each additional 30 minutes10154$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes9183$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3021$0
View full utilization report →

Insurance plans in this area (ZIP 07110)

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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: 1759276975View full group profile
NameSpecialtyState
Critical Care (Intensivists), General SurgeryMD
Physician AssistantGA
Critical Care (Intensivists), Hospitalist, Internal MedicineMD
N E U R O L O G YMD
Nurse PractitionerMD
O P H T H A L M O L O G YMD
H O S P I T A L I S TTN
Sleep Medicine, Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseMD
N E U R O L O G YMD
Physician AssistantMD

Reviews

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Frequently asked questions

Is there an official ID for ABDUL RAHMAN (M.D) in U.S. healthcare records?
The official identifier for ABDUL RAHMAN (M.D) is NPI 1033554142.
Is ABDUL RAHMAN (M.D) shown as active in public data?
Registry records indicate ABDUL RAHMAN (M.D) maintains an active NPI.
What clinical focus is listed for ABDUL RAHMAN (M.D)?
At a glance, ABDUL RAHMAN (M.D) is tied to Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ABDUL RAHMAN (M.D)?
Travel planning: use Nutley, New Jersey as the reference point for ABDUL RAHMAN (M.D), then confirm.
Does ABDUL RAHMAN (M.D) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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