Nasam Altwal, DO
Individual provider Active NPI Internal Medicine Physician · Kansas City, KS
NPI 1508501123 · NPPES record last updated Apr 24, 2026
Key facts
- NPI
- 1508501123
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 94-10925 (KS)
- Practice address
- 3901 Rainbow Blvd # Ms 4015
Kansas City, KS 66160-8500 - Phone
- (913) 588-6412
- Fax
- (913) 588-6414
- NPI assigned
- Apr 28, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220825000601 | KS | Order and Referring Only - Internal Medicine |
6800270836 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-10925 | KS | MD | Psychiatry Physician |
| 2026010460 | MO | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2026010460 | MO | |
| Psychiatry Physician | 2084P0800X | 94-10925 | KS | |
| Internal Medicine Physician | 207R00000X | 94-10925 | KS | Yes |
Addresses
Primary practice location
3901 Rainbow Blvd # Ms 4015
Kansas City, KS 66160-8500
Mailing address
3901 Rainbow Blvd # Ms 4015
Kansas City, KS 66160-8500
Phone (913) 588-6412
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All providers in Kansas City, KS · Internal Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.