Individual provider Active NPI

Asad Yasin Al-Rawashdeh, MD

  • Nephrology Physician
  • Joplin, MO
National Provider Identifier
1619421963
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
04-45616 Issued in KS
Practice address
522 W 32ND St Ste 1
Joplin, MO 64804-2533
Phone
(174) 782-5000
Fax
(417) 782-2945
NPI assigned
Aug 3, 2016
Last updated
Jun 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 2021044826 MO
Nephrology Physician 207RN0300X BP10056172 TX
Nephrology Physician 207RN0300X 04-45616 KS Primary

Addresses

Primary practice location

522 W 32ND St Ste 1
Joplin, MO 64804-2533

Mailing address

522 W 32ND St
Ste 1
Joplin, MO 64804-2533
Phone (417) 782-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, OK3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20211130000173 MO Practitioner - NephrologyPractitioner - General Practice 4284929035 Reassigns benefits to 1 organization
I20211230000952 KS Practitioner - Nephrology 4284929035 Reassigns benefits to 1 organization
I20220408000603 OK Practitioner - Internal Medicine 4284929035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ahmed Aboul-Magd PCGroup PAC ID 5193784429, 5 clinicians

Practice addresses (Care Compare)

2824 N Broadway St
Fresenius Medical Care Pittsburg Midwest
Pittsburg, KS 66762-2627
Phone (620) 231-0045

522 W 32ND St
Suite 1
Joplin, MO 64804-2533
Phone (417) 782-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.86 of 100Reported as group
Quality
72.74
Improvement activities
0
Cost
80.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-45616KSMDNephrology Physician
BP10056172TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joplin Nephrology Consultants PA Single Specialty CurrentSince Jan 1, 2022 Accepting new patients

Locations

2824 N Broadway St
Pittsburg, KS 66762
Phone (620) 231-0045

522 W 32nd St
Ste 1
Joplin, MO 64804
Phone (417) 782-5000

522 W 32nd St
Ste B
Joplin, MO 64804
Phone (417) 782-4055

1230 N Main St
Miami, OK 74354
Phone (918) 540-2700

Interoperability endpoints

  • Direct secure messaging: aalrawashdeh36833@direct.acumenmd.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 12

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": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1619421963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W 32ND ST",
            "address_2": "STE 1",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042533",
            "telephone_number": "417-782-5000",
            "fax_number": "417-782-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W 32ND ST STE 1",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042533",
            "telephone_number": "174-782-5000",
            "fax_number": "417-782-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-RAWASHDEH",
        "first_name": "ASAD",
        "middle_name": "YASIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2022-06-16",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2021044826",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "BP10056172",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KS",
            "license": "04-45616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.