Individual provider Active NPI

Abedel Rahman Fawzi a Anani

  • Pulmonary Disease Physician
  • Saint Joseph, MO
National Provider Identifier
1225680630
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2024039995 Issued in MO
Practice address
5301 Faraon St Ste 210
Saint Joseph, MO 64506-3800
Phone
(816) 271-1385
Fax
(816) 271-1379
NPI assigned
Jul 15, 2019
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 2024039995 MO Primary

Addresses

Primary practice location

5301 Faraon St Ste 210
Saint Joseph, MO 64506-3800

Mailing address

5301 Faraon St Ste 210
Saint Joseph, MO 64506-3800
Phone (816) 271-1385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20250801002548 MO Practitioner - Pulmonary Disease 7719216704 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Regional Health ServicesGroup PAC ID 8921917352, shared by 13 NPIs, 165 clinicians
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

114 E S Hills Dr
Maryville, MO 64468-2659

5301 Faraon St
Suite 210a
Saint Joseph, MO 64506-3800
Phone (816) 271-1385

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Center Association Inc CurrentSince Jul 24, 2025 Accepting new patients
Mosaic Medical Center - Maryville Internal Medicine CurrentSince Jul 24, 2025 Accepting new patients
Mosaic Medical Center - Maryville CurrentSince Jul 24, 2025 Accepting new patients
Heartland Regional Medical Center Internal Medicine CurrentSince Jul 24, 2025 Accepting new patients
Heartland Regional Medical Center CurrentSince Jul 24, 2025 Accepting new patients
Heartland Regional Medical Center Internal Medicine Past Accepting new patients

Locations

705 N College St
Albany, MO 64402
Phone (660) 726-3941

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

5301 Faraon St
#210A
Saint Joseph, MO 64506
Phone (816) 271-1385

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

5301 Faraon St
Ste 210
Saint Joseph, MO 64506
Phone (816) 271-1385

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1395

Organizations & group practices 6

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 4

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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1225680630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 FARAON ST STE 210",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063800",
            "telephone_number": "816-271-1385",
            "fax_number": "816-271-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 FARAON ST STE 210",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063800",
            "telephone_number": "816-271-1385",
            "fax_number": "816-271-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANANI",
        "first_name": "ABEDEL RAHMAN",
        "middle_name": "FAWZI A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-15",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2024039995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.