DR. RAHMATOLLAH O SIMANI M.D.
NPI 1104895010
General Practice in Friendship, WI

Q: What is Rahmatollah Simani's NPI number?

The NPI number for Rahmatollah Simani is 1104895010. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is Rahmatollah Simani's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since March 14, 2006PECOS Enrolled

402 W LAKE ST, FRIENDSHIP, WI 53934(608) 339-3331(608) 339-6975 Get Directions Write a Review

NPPES record last updated: August 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Rahmatollah O Simani M.d. NPPES

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

DR. RAHMATOLLAH O SIMANI M.D. (NPI 1104895010) is an individual general practice provider in Friendship, Wisconsin, licensed in Wisconsin (17974) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104895010

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. RAHMATOLLAH O SIMANICredential: M.D.

Location Address402 W LAKE STFriendship, WI 53934-9699

Mailing AddressPo Box 40Friendship, WI 53934-0040 · (608) 339-3331 · Fax (608) 339-6975

Phone(608) 339-3331

Fax(608) 339-6975

Sole ProprietorNo

Enumeration DateMarch 14, 2006

Last NPPES UpdateAugust 13, 2012

✔ NPI 1104895010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in WI · 17974

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

402 W LAKE ST, Friendship, WI 53934

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Other Identifiers 3

Medicare ID-Type Unspecified03017WI

Medicaid30970900WI

Medicare UPINB85258WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rahmatollah O Simani M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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Other Providers at the Same Location NPPES 20

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

ROBERT E DOCHERTY RN

Nurse Practitioner (Family)