Fahim Rahim, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

M9261 Issued in ID

Practice address

4511 Zebe Ave
Chubbuck, ID 83202-4707

Phone

(208) 904-4780

Fax

(208) 904-4832

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nephrology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Idaho Kidney Institute LLP 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Idaho Kidney Center - Pocatello Dialysis facility, Chubbuck, ID, CCN 132511
• Eastern Idaho Regional Medical Center Hospital, Idaho Falls, ID, CCN 130018
• Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028
• Bingham Memorial Hospital Hospital, Blackfoot, ID, CCN 131325
• Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065
• Nell J Redfield Memorial Hospital Hospital, Malad City, ID, CCN 131303

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fahimrahim@bmh.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Idaho Kidney Institute LLP

  • Nephrology Physician
  • Chubbuck, ID
  • NPI 1013064690

  ID, Nephrology

  Medicare reassignment Care Compare group NPD Authorized official
• BMH, Inc.

  • Surgery Physician
  • Blackfoot, ID
  • NPI 1255539193

  ID, Internal Medicine

  Medicare reassignment NPD
• BMH Inc

  • Critical Access Hospital
  • Blackfoot, ID
  • NPI 1982805271
  NPD
• BMH, Inc.

  • Family Medicine Physician
  • Pocatello, ID
  • NPI 1295502995
  NPD
• BMH, Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Idaho Falls, ID
  • NPI 1578760518
  NPD
• BMH Inc.

  • Rural Health Clinic/Center
  • Blackfoot, ID
  • NPI 1770785875
  NPD (past)
• Fresenius Medical Care Snake River, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Idaho Falls, ID
  • NPI 1265041479
  NPD (past)
• Nephrology & Internal Medicine Associates

  • Specialist
  • Stuart, FL
  • NPI 1952308660
  NPD (past)
• Transtreme, LLC

  • Family Nurse Practitioner
  • Kansas City, MO
  • NPI 1003290453
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pocatello Med Partners LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chubbuck, ID
  • NPI 1275577025

  Dialysis facility

  Care Compare affiliation Name & address match
• BMH Inc

  • Critical Access Hospital
  • Blackfoot, ID
  • NPI 1982805271

  Hospital

  Care Compare affiliation
• Eastern Idaho Health Services Inc

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1225082209

  Hospital

  Care Compare affiliation
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362

  Hospital

  Care Compare affiliation
• Oneida County Hospital

  • Critical Access Hospital
  • Malad, ID
  • NPI 1609826270

  Hospital

  Care Compare affiliation
• Pocatello Hospital LLC

  • Rehabilitation Hospital Unit
  • Pocatello, ID
  • NPI 1144262114

  Hospital

  Care Compare affiliation
• Pocatello Hospital LLC

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1790751055

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1164579736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268934",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268934",
            "telephone_number": "208-904-4780",
            "fax_number": "208-904-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 ZEBE AVE",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832024707",
            "telephone_number": "208-904-4780",
            "fax_number": "208-904-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHIM",
        "first_name": "FAHIM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "ID",
            "license": "M9261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807177000",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fahimrahim@ikillp.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "fahimrahim@ikillp.allscriptsdirect.net",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fahimrahim@ikillp.allscriptsdirect.net",
            "address_1": "4511 Zebe Ave",
            "city": "Chubbuck",
            "state": "ID",
            "country_code": "US",
            "postal_code": "832024707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Praxair Healthcare Services, Inc.
• Melanie Prescott, PHARM.D
• Austin Pugmire
• Jared C Pugmire, PT DPT
• Thomas Putnam, LPC
• Naeem Rahim, M.D.
• Elizabeth B Renzello, SLP
• Katrina Rhett, PT
• David E Richardson, LPC
• Liva Rigney-Cox

• All providers in Chubbuck, ID
• Nephrology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.