SYED SHAFEEQ UR RAHMAN PA
NPI 1821233305
Clinic/Center in Fort Pierce, FL

Active since December 11, 2008
805 VIRGINIA AVE, SUITE 16, FORT PIERCE, FL 34982(772) 468-6969(772) 465-5160 Get Directions Write a Review

NPPES record last updated: July 2, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Syed Shafeeq Ur Rahman Pa NPPES

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

SYED SHAFEEQ UR RAHMAN PA (NPI 1821233305) is a healthcare organization registered as a clinic/center in Fort Pierce, Florida and active in the NPI registry since December 2008. The organization lists Syed Shafeeq Ur Rahman, M.d., as its authorized official.

NPPES Registry Identity

NPI1821233305
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSYED SHAFEEQ UR RAHMAN PA
Location Address805 VIRGINIA AVE, SUITE 16Fort Pierce, FL 34982-5881
Mailing Address805 Virginia Ave, Suite 16Fort Pierce, FL 34982-5881 · (772) 468-6969 · Fax (772) 465-5160
Fax(772) 465-5160
Organization SubpartNo
Authorized OfficialSyed Shafeeq Ur RahmanM.d. · (772) 468-6969
Enumeration DateDecember 11, 2008
Last NPPES UpdateJuly 2, 2009
✔ NPI 1821233305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in FL · ME86628
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
805 VIRGINIA AVE, Fort Pierce, FL 34982

Other Identifiers 2

Medicaid260888000FL
Medicare UPINU0872FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Syed Shafeeq Ur Rahman Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Syed Shafeeq Ur Rahman PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1518028679
805 VIRGINIA AVE SUITE 16
Fort Pierce, FL 34982
(772) 468-6969
✔ PECOS✔ Accepts Medicare4.5 mi

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

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 Syed Shafeeq Ur Rahman PA's NPI number?

The NPI number for Syed Shafeeq Ur Rahman PA is 1821233305. It was assigned to this organization in the NPPES registry on December 11, 2008.

Where is Syed Shafeeq Ur Rahman PA located?

Syed Shafeeq Ur Rahman PA is located at 805 Virginia Ave Suite 16, Fort Pierce, FL 34982. The listed phone number is (772) 468-6969.

What is Syed Shafeeq Ur Rahman PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Syed Shafeeq Ur Rahman PA enrolled in Medicare?

Yes. Syed Shafeeq Ur Rahman PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Syed Shafeeq Ur Rahman PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Syed Shafeeq Ur Rahman PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Syed Shafeeq Ur Rahman PA accept?

Health plans from AmeriHealth Caritas Next list Syed Shafeeq Ur Rahman PA 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.

When was this NPI record last updated?

The NPPES record for Syed Shafeeq Ur Rahman PA was last updated on July 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.