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A B M MASUDUR RAHMAN MD
NPI 1295027514
Family Medicine - Sports Medicine in Edina, MN

Active since May 04, 2011PECOS EnrolledAccepts Medicare Assignment
4010 W 65TH ST, EDINA, MN 55435(952) 456-7000(952) 456-7001 Get Directions Write a Review

NPPES record last updated: December 5, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About A B M Masudur Rahman Md NPPES

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

A B M MASUDUR RAHMAN MD (NPI 1295027514) is an individual sports medicine provider in Edina, Minnesota, licensed in Minnesota (57303) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1295027514
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameA B M MASUDUR RAHMANCredential: MD
Location Address4010 W 65TH STEdina, MN 55435-1706
Mailing Address4200 Dahlberg Dr, Suite 300Golden Valley, MN 55422-4840 · (952) 512-5600 · Fax (952) 512-5651
Phone(952) 456-7000
Fax(952) 456-7001
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateMay 4, 2011
Last NPPES UpdateDecember 5, 2014
✔ NPI 1295027514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in MN · 57303
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
4010 W 65TH ST, Edina, MN 55435
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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 and accepts Medicare assignment

A B M Masudur Rahman Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496987364
PECOS Enrollment IDI20140407002096
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 Reassignments

4

Medicare enrollment records show A B M Masudur Rahman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Infinite Health Collaborative, PA
2.0 mi
Orthopaedic Surgery
3500 AMERICAN BLVD W STE 300
Bloomington, MN 55431
  • Reassigned Medicare billing, Minnesota enrollment
  • 728 clinicians in this Medicare group
NPI 1164474250 (952) 512-5600
Park Nicollet Methodist Hospital
3.3 mi
General Acute Care Hospital
3900 PARK NICOLLET BLVD
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Park Nicollet Clinic
  • 2,527 clinicians in this Medicare group
NPI 1194113217 (952) 993-1953
Perham Hospital District
161 mi
Family Medicine
665 3RD ST SW
Perham, MN 56573
  • Reassigned Medicare billing, Minnesota enrollment
  • 86 clinicians in this Medicare group
NPI 1457631814 (218) 347-1200
Vohra Post Acute Care Physicians Of The East, PA
1,491 mi
Family Medicine
3601 SW 160TH AVE STE 250
Miramar, FL 33027
  • Reassigned Medicare billing, Minnesota enrollment
  • 14 clinicians in this Medicare group
NPI 1063848968 (877) 866-7123

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
152 services148 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
109 services108 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 20

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

DAVID BLOOMQUIST ATC
Specialist/Technologist (Athletic Trainer)
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (320) 212-3992
AMBER DEGRAFF
Occupational Therapist (Pediatrics)
4010 W 65TH ST, SUITE 105
EDINA, MN 55435
Hennepin County (952) 285-2840
ANNA M BERNARD OTR/L
Occupational Therapist
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (952) 456-7000
ANNE R ANDERSON RNFA
Registered Nurse (Registered Nurse First Assistant)
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (952) 456-7000
KELLEY F GROTTING CNP
Nurse Practitioner
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (952) 456-7000
DR. BRIAN PETER BJERKE M.D.
Orthopaedic Surgery
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (952) 456-7000
MRS. KAITLYN M SOLDAN PA-C, ATC
Physician Assistant
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (952) 456-7000
CATHERINE FENLASON SLP
Speech-Language Pathologist
4010 W 65TH ST, SUITE 105
EDINA, MN 55435
Hennepin County (952) 285-2840

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 A B M Masudur Rahman's NPI number?

The NPI number for A B M Masudur Rahman is 1295027514. It was assigned to this individual provider in the NPPES registry on May 4, 2011.

Where is A B M Masudur Rahman located?

A B M Masudur Rahman practices at 4010 W 65th St, Edina, MN 55435. The listed phone number is (952) 456-7000.

What is A B M Masudur Rahman's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is A B M Masudur Rahman enrolled in Medicare?

Yes. A B M Masudur Rahman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for A B M Masudur Rahman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), A B M Masudur Rahman reassigns Medicare benefits to 4 organizations: Infinite Health Collaborative, PA (Bloomington, MN), Park Nicollet Methodist Hospital (St Louis Park, MN), Perham Hospital District (Perham, MN) and Vohra Post Acute Care Physicians Of The East, PA (Miramar, FL). Each 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 A B M Masudur Rahman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is A B M Masudur Rahman affiliated with any hospitals?

According to CMS data, A B M Masudur Rahman is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for A B M Masudur Rahman was last updated on December 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.