Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHAOON SHAJIB RAHMAN
NPI 1902486046
Psychiatry & Neurology - Neurology in Grand Rapids, MI

Q: What is Shaoon Rahman's NPI number?

The NPI number for Shaoon Rahman is 1902486046. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Q: What is Shaoon Rahman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Shaoon Rahman was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.

Active since April 13, 2021PECOS Enrolled

2750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525(616) 267-7104 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 8, 2026, Jun 24, 2025, Apr 13, 2021 (3 updates tracked since 2021).

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About Shaoon Shajib Rahman NPPES

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

SHAOON SHAJIB RAHMAN (NPI 1902486046) is an individual neurology provider in Grand Rapids, Michigan, licensed in Michigan (4301512207) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Bayview Medical Center, and is a graduate of Michigan State University College Of Human Medicine (2017).

NPPES Registry Identity

NPI1902486046

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameSHAOON SHAJIB RAHMAN

Location Address2750 E BELTLINE AVE NEGrand Rapids, MI 49525-8614

Mailing Address100 Michigan St NeGrand Rapids, MI 49503-2560

Phone(616) 267-7104

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 2017

Enumeration DateApril 13, 2021

Last NPPES UpdateSeptember 8, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2026

✔ NPI 1902486046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in MI · 4301512207

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

2750 E BELTLINE AVE NE, Grand Rapids, MI 49525

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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)

Shaoon Shajib Rahman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264951318

PECOS Enrollment IDI20260813004093

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 Shaoon Rahman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spectrum Health Primary Care Partners

2.0 mi

Nurse Practitioner

3271 CLEAR VISTA CT NE
Grand Rapids, MI 49525

Reassigned Medicare billing, Michigan enrollment
2,446 clinicians in this Medicare group

NPI 1346480258 (616) 391-7800

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

Hospital Affiliations CMS Care Compare

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

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210029

Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

ANAKA NICOLE DEVRIES

Social Worker (Clinical)