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PROMI L RAHMAN D.O.
NPI 1255027421
Student in an Organized Health Care Education/Training Program in Yonkers, NY

Active since April 12, 2023PECOS Enrolled
967 N BROADWAY, YONKERS, NY 10701(914) 798-8971 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 30, 2023, May 24, 2023, Apr 12, 2023 (3 updates tracked since 2023).

About Promi L Rahman D.o. NPPES

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

PROMI L RAHMAN D.O. (NPI 1255027421) is an individual student in an organized health care education/training program in Yonkers, New York and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2023).

NPPES Registry Identity

NPI1255027421
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePROMI L RAHMANCredential: D.O.
Location Address967 N BROADWAYYonkers, NY 10701-1301
Mailing Address967 N BroadwayYonkers, NY 10701-1301 · (914) 798-8971
Phone(914) 798-8971
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2023
Enumeration DateApril 12, 2023
Last NPPES UpdateMay 30, 20233 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
✔ NPI 1255027421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
967 N BROADWAY, Yonkers, NY 10701
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Promi L Rahman D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648738526
PECOS Enrollment IDI20260820003593
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.

Medicare Billing Reassignment

Medicare enrollment records show Promi Rahman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Westchester Medical Group, P.C.
11 mi
Critical Care Medicine
800 WESTCHESTER AVE STE N715
Rye Brook, NY 10573
  • Reassigned Medicare billing, New York enrollment
  • 470 clinicians in this Medicare group
NPI 1881653822 (908) 988-0428

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. JULIAN C LILDHARRIE MD
Student in an Organized Health Care Education/Training Program
967 N BROADWAY
YONKERS, NY 10701
Westchester County (914) 798-8971
SABRINA DUNN MD
Student in an Organized Health Care Education/Training Program
967 N BROADWAY
YONKERS, NY 10701
Westchester County (914) 798-8971
DR. LAURA BETH THOMAS M.D.
Emergency Medicine
967 N BROADWAY
YONKERS, NY 10701
Westchester County (914) 964-4349
CLAUDVILLE DEANE DERBY MD
Internal Medicine
967 N BROADWAY
YONKERS, NY 10701
Westchester County (914) 798-8971
MALWINA ANNA OLENDROWICZ NP
Internal Medicine (Gastroenterology)
967 N BROADWAY
YONKERS, NY 10701
Westchester County (914) 964-4444
ZHUO QIAN DO
Student in an Organized Health Care Education/Training Program
967 N BROADWAY
YONKERS, NY 10701
Westchester County (914) 798-8971
AVIVA LEAH MENASHY
Student in an Organized Health Care Education/Training Program
967 N BROADWAY
YONKERS, NY 10701
Westchester County (914) 798-8971
DR. SUSAN M BALEZENTIS D.O.
Emergency Medicine
967 N BROADWAY
YONKERS, NY 10701
Westchester County (914) 964-4376

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 Promi Rahman's NPI number?

The NPI number for Promi Rahman is 1255027421. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Where is Promi Rahman located?

Promi Rahman practices at 967 N Broadway, Yonkers, NY 10701. The listed phone number is (914) 798-8971.

What is Promi Rahman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Promi Rahman enrolled in Medicare?

Yes. Promi Rahman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Promi Rahman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Promi Rahman reassigns Medicare benefits to Westchester Medical Group, P.C. (Rye Brook, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Promi Rahman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Promi Rahman was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.