Individual provider Active NPI

Rayanah Kawam, DO

  • Infectious Disease Physician
  • Anderson, IN
National Provider Identifier
1578958765
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
02006971A Issued in IN
Practice address
1210 Medical Arts Blvd Ste 201a
Anderson, IN 46011-3461
Phone
(765) 298-4377
NPI assigned
Apr 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X T2193 TX
Infectious Disease Physician 207RI0200X 02006971A IN Primary

Addresses

Primary practice location

1210 Medical Arts Blvd Ste 201a
Anderson, IN 46011-3461

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Phone (317) 621-7547

Other practice location 1

2636 Tibbets Dr
Bedford, TX 76022-6919
Phone (972) 484-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN, LA, WV, TN, SC, AL, AR, MA9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20210902003169 TX Practitioner - Infectious Disease 7719383579 Reassigns benefits to 1 organization
I20221129002330 IN Practitioner - Infectious DiseasePractitioner - Internal Medicine 7719383579 Reassigns benefits to 2 organizations
I20250331002027 LA Practitioner - Infectious Disease 7719383579 Reassigns benefits to 1 organization
I20250410001318 WV Practitioner - Infectious Disease 7719383579 Reassigns benefits to 1 organization
I20250422001468 TN Practitioner - Infectious Disease 7719383579 Reassigns benefits to 1 organization
I20250424000727 SC Practitioner - Infectious Disease 7719383579 Reassigns benefits to 1 organization
I20250516001949 AL Practitioner - Infectious Disease 7719383579 Reassigns benefits to 1 organization
I20260114004259 AR Practitioner - Infectious Disease 7719383579 Reassigns benefits to 1 organization
I20260217000861 MA Practitioner - Infectious Disease 7719383579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Touro Un Col of Osteopathic Medicine, New York, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians

Practice addresses (Care Compare)

Indian Land, SC 29707
Phone (972) 449-0540

Mountain BRK, AL 35223
Phone (972) 449-0540

Spring, TX 77382
Phone (972) 449-0540

San Antonio, TX 78255
Phone (972) 449-0540

1 Medical Ctr Blvd
Cookeville, TN 38501-4294
Phone (972) 449-0540

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (972) 449-0540

100 Sadie LN
Morgantown, WV 26508-1166
Phone (972) 449-0540

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (972) 449-0540

1401 Medical Pkwy
Cedar Park, TX 78613-7763
Phone (972) 449-0540

1710 Harper Rd
Beckley, WV 25801-3357
Phone (972) 449-0540

222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (972) 449-0540

2986 Kate Bond Rd
Bartlett, TN 38133-4003
Phone (972) 449-0540

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (972) 449-0540

400 Taylor Rd
Montgomery, AL 36117-3512
Phone (334) 244-8500

551 Hill Country Dr
Kerrville, TX 78028-6085
Phone (972) 449-0540

600 S Pine St
Deridder, LA 70634-4942
Phone (972) 449-0540

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Dec 12, 2022 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Dec 12, 2022 Accepting new patients
I.D. Doctors Pharmacy CurrentSince Apr 10, 2022 Accepting new patients
Access Telecare, PLLC Infectious Disease CurrentSince Mar 27, 2025 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1210 Medical Arts Blvd
Ste 201A
Anderson, IN 46011
Phone (765) 298-4377

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

2636 Tibbets Dr
Bedford, TX 76022
Phone (817) 858-0065

2636 Tibbets Dr
Ste 110
Bedford, TX 76022
Phone (817) 585-0065

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1578958765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890",
            "telephone_number": "317-621-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 MEDICAL ARTS BLVD STE 201A",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113461",
            "telephone_number": "765-298-4377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2636 Tibbets Dr",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760226919",
            "country_code": "US",
            "telephone_number": "972-484-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAWAM",
        "first_name": "RAYANAH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "T2193",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IN",
            "license": "02006971A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.