Enayet Rahim, MD

Key facts

NPI

1811999014

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

M4920 (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

Sex

Male

Sole proprietor

No

Organizations & group practices 2

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.

• Inpatient Providers of Texas, PLLC Internal Medicine Physician · Houston, TX · NPI 1356688436
  NPD INTERNAL MEDICINE
• Anderson Guderian Medical Association Family Medicine Physician · League City, TX · NPI 1659403418
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 20, 2013.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8BL820",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "P00662894",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00857612A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190911102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Houston, TX · Internal Medicine Physician in Texas