Individual provider Active NPI

Rahim Ruknudin Sewani, DO, PHD

  • Family Medicine Physician
  • Bedford, TX
National Provider Identifier
1205463767
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T7728 Issued in TX
Practice address
1701 Forest Ridge Dr
Bedford, TX 76022-7959
Phone
(817) 545-7700
Fax
(817) 545-2298
NPI assigned
Mar 25, 2020
Last updated
May 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7272 OK
Family Medicine Physician 207Q00000X OS19439 FL
Family Medicine Physician 207Q00000X T7728 TX Primary

Addresses

Primary practice location

1701 Forest Ridge Dr
Bedford, TX 76022-7959

Mailing address

3905 Hedgcoxe Rd Unit 250328
Plano, TX 75025-0858
Phone (817) 545-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240920002337 TX Practitioner - Family Practice 8022559772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evershine Med, PLLCGroup PAC ID 7113468869, 2 clinicians

Practice addresses (Care Compare)

1701 Forest Ridge Dr
Bedford, TX 76022-7959
Phone (817) 545-7700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
T7728TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evershine Med PLLC Family Medicine CurrentSince Aug 1, 2024 Accepting new patients

Locations

1701 Forest Ridge Dr
Bedford, TX 76022
Phone (817) 545-7700

3905 Hedgcoxe Rd
Unit 250328
Plano, TX 75025

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCIFDD
  • Direct secure messaging: rahim.sewani@evershine.eclinicaldirectplus.com

Organizations & group practices 1

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1205463767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 HEDGCOXE RD UNIT 250328",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750250858",
            "telephone_number": "817-545-7700",
            "fax_number": "817-545-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 FOREST RIDGE DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760227959",
            "telephone_number": "817-545-7700",
            "fax_number": "817-545-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWANI",
        "first_name": "RAHIM",
        "middle_name": "RUKNUDIN",
        "name_prefix": "Dr.",
        "credential": "DO, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "7272",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS19439",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T7728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.