DR. SOPHIA RAHMAN M.D.
NPI 1306142955
Internal Medicine in Plano, TX
About Dr. Sophia Rahman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SOPHIA RAHMAN M.D. (NPI 1306142955) is an individual internal medicine provider in Plano, Texas, licensed in Texas (P8404) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through January 31, 2027, and is affiliated with Medical City Plano.
NPPES Registry Identity
Specialties & Licenses
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Sophia Rahman M.d. 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.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2161432
Sophia Rahman, MD, PLLC · Plano, TXAreas of Expertise CMS Part B claims 15
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Medical City Plano
Acute Care Hospitals · Plano, TXBaylor Scott & White Medical Center Plano
Acute Care Hospitals · Plano, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sophia Rahman's NPI number?
The NPI number for Sophia Rahman is 1306142955. It was assigned to this individual provider in the NPPES registry on January 30, 2011.
Where is Sophia Rahman located?
Sophia Rahman practices at 1212 Coit Rd Ste 105, Plano, TX 75075. The listed phone number is (972) 782-2811.
What is Sophia Rahman's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sophia Rahman enrolled in Medicare?
Yes. Sophia 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.
Does Sophia Rahman hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2161432) is associated with this NPI, valid through January 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Sophia Rahman accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Sophia Rahman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Sophia Rahman affiliated with any hospitals?
According to CMS data, Sophia Rahman is affiliated with Medical City Plano and Baylor Scott & White Medical Center Plano.
When was this NPI record last updated?
The NPPES record for Sophia Rahman was last updated on January 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
