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MD MOSIUR RAHAMAN NP
NPI 1104703560
Nurse Practitioner - Family in Bronx, NY

Active since August 18, 2025PECOS Enrolled
1166 THIERIOT AVE APT 1, BRONX, NY 10472(347) 301-4410 Get Directions Write a Review

NPPES record last updated: November 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Md Mosiur Rahaman Np NPPES

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

MD MOSIUR RAHAMAN NP (NPI 1104703560) is an individual family provider in Bronx, New York, licensed in New York (358298) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104703560
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMD MOSIUR RAHAMANCredential: NP
Location Address1166 THIERIOT AVE APT 1Bronx, NY 10472-4732
Mailing Address1166 Thieriot Ave Apt 1Bronx, NY 10472-4732
Phone(347) 301-4410
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 18, 2025
Last NPPES UpdateNovember 15, 2025
NPPES CertifiedNovember 15, 2025
✔ NPI 1104703560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 358298
1166 THIERIOT AVE APT 1, Bronx, NY 10472
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Md Mosiur Rahaman Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315416369
PECOS Enrollment IDI20260519003004
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10472 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Md Mosiur Rahaman's NPI number?

The NPI number for Md Mosiur Rahaman is 1104703560. It was assigned to this individual provider in the NPPES registry on August 18, 2025.

Where is Md Mosiur Rahaman located?

Md Mosiur Rahaman practices at 1166 Thieriot Ave Apt 1, Bronx, NY 10472. The listed phone number is (347) 301-4410.

What is Md Mosiur Rahaman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Md Mosiur Rahaman enrolled in Medicare?

Yes. Md Mosiur Rahaman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Md Mosiur Rahaman was last updated on November 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.