Individual provider Active NPI

Enayet Rahim, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1811999014
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M4920 Issued in TX
Practice address
13630 Beamer Rd
Suite 114
Houston, TX 77089-6069
Phone
(281) 481-8500
Fax
(281) 481-8520
NPI assigned
Jun 1, 2005
Last updated
Jun 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 047937 GA
Internal Medicine Physician 207R00000X M4920 TX Primary

Addresses

Primary practice location

13630 Beamer Rd
Suite 114
Houston, TX 77089-6069

Mailing address

10904 Scarsdale Blvd
#350-140
Houston, TX 77089-6068
Phone (281) 481-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Providers of Texas, PLLC Internal Medicine CurrentSince Jan 9, 2013 Accepting new patients
Anderson Guderian Medical Association Past Accepting new patients
CLS Health PLLC Past Accepting new patients

Locations

13630 Beamer Rd
Ste 114
Houston, TX 77089
Phone (281) 481-8500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1811999014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10904 SCARSDALE BLVD",
            "address_2": "#350-140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896068",
            "telephone_number": "281-481-8500",
            "fax_number": "281-481-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13630 BEAMER RD",
            "address_2": "SUITE 114",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896069",
            "telephone_number": "281-481-8500",
            "fax_number": "281-481-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHIM",
        "first_name": "ENAYET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "047937",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M4920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.