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DR. RYAN S RAHMAN M.D.
NPI 1053673509
Family Medicine in Canon City, CO

Active since June 11, 2012Opted out of Medicare · through Apr 1, 2028
1335 PHAY AVE STE A, CANON CITY, CO 81212(719) 285-8890(719) 208-7373 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2025, Nov 15, 2021, Nov 8, 2021 and 5 more (8 updates tracked since 2016).

About Dr. Ryan S Rahman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RYAN S RAHMAN M.D. (NPI 1053673509) is an individual family medicine provider in Canon City, Colorado, licensed in Colorado (0066781) and active in the NPI registry since June 2012. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053673509
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RYAN S RAHMANCredential: M.D.
Location Address1335 PHAY AVE STE ACanon City, CO 81212-2349
Mailing Address712 Macon AveCanon City, CO 81212-3314 · (719) 285-8890
Phone(719) 285-8890
Fax(719) 208-7373
Sole ProprietorYes
Enumeration DateJune 11, 2012
Last NPPES UpdateMay 5, 20258 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1053673509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CO · 0066781✔ Licensed in TN · 53997
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1335 PHAY AVE STE A, Canon City, CO 81212
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Other Identifiers 4

Medicaid230369001AR
MedicaidQ038592TN
Medicaid08855093MS
Medicaid1053673509MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Ryan S Rahman M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DESERT RIVER FAMILY MEDICINE, LLC
Family Medicine
1335 PHAY AVE STE A
CANON CITY, CO 81212
Fremont County (719) 285-8890
JAMES F. REPPERT, M.D.
Internal Medicine
1335 PHAY AVE STE A
CANON CITY, CO 81212
Fremont County (719) 275-4151
JAMES FRED REPPERT M.D.
Internal Medicine
1335 PHAY AVE STE A
CANON CITY, CO 81212
Fremont County (719) 275-4151
DESERT RIVER DIRECT, PLLC
Family Medicine
1335 PHAY AVE STE A
CANON CITY, CO 81212
Fremont County (719) 285-8890
GUIDZENGACO
Internal Medicine
1335 PHAY AVE STE A
CANON CITY, CO 81212
Fremont County (719) 275-4151
STEPHEN LEE BARBEE M.D.
Internal Medicine
1335 PHAY AVE STE A
CANON CITY, CO 81212
Fremont County (719) 275-4151

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Rahman's NPI number?

The NPI number for Ryan Rahman is 1053673509. It was assigned to this individual provider in the NPPES registry on June 11, 2012.

Where is Ryan Rahman located?

Ryan Rahman practices at 1335 Phay Ave Ste A, Canon City, CO 81212. The listed phone number is (719) 285-8890.

What is Ryan Rahman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ryan Rahman enrolled in Medicare?

No. Ryan Rahman has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ryan Rahman was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.