Individual provider Active NPI

Fahim Rasul, DO

  • Psychiatry Physician
  • Gardena, CA
National Provider Identifier
1821550245
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E-13504 Issued in AR
Practice address
1225 W 190TH St Ste 280
Gardena, CA 90248-4305
Phone
(877) 515-8113
NPI assigned
Apr 3, 2019
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X E-13504 AR Primary
Psychiatry Physician 2084P0800X 2026-01600 NC

Addresses

Primary practice location

1225 W 190TH St Ste 280
Gardena, CA 90248-4305

Mailing address

3214 E Race Ave
Searcy, AR 72143-4810

Other practice location 1

2908 Hawkins Dr
Searcy, AR 72143-4802
Phone (501) 203-0055

Other practice location 2

2810 Coliseum Centre Dr Ste 120
Charlotte, NC 28217-3255
Phone (972) 449-0540

Other practice location 3

604 Amanda St
Manteo, NC 27954-9039
Phone (252) 473-3478

Other identifiers 1

IdentifierTypeStateIssuer
212964795MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, CA, CO, VA, TN, NC6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20201020000945 AR Practitioner - Psychiatry 8921428558 Reassigns benefits to 4 organizations
I20230825002370 CA Practitioner - Psychiatry 8921428558 Reassigns benefits to 2 organizations
I20241008001581 CO Practitioner - Psychiatry 8921428558 Reassigns benefits to 3 organizations
I20250624001660 VA Practitioner - Psychiatry 8921428558 Reassigns benefits to 1 organization
I20250717001835 TN Practitioner - Psychiatry 8921428558 Reassigns benefits to 2 organizations
I20260408001167 NC Practitioner - Psychiatry 8921428558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ehab Yacoub MD IncGroup PAC ID 5092099523, 179 clinicians

Practice addresses (Care Compare)

1 Harbor Dr
Suite 300
Sausalito, CA 94965-1434
Phone (877) 515-8113

200 Union Blvd
Lakewood, CO 80228-1830
Phone (310) 515-8113

8835 American Way
Englewood, CO 80112-7056
Phone (720) 643-4300

992 Davidson Dr
Suite B
Nashville, TN 37205-1051
Phone (469) 895-9275

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC Psychiatry CurrentSince Jul 7, 2025 Accepting new patients
White County Medical Center CurrentSince Oct 1, 2020 Accepting new patients
White County Medical Center Current Accepting new patients
Forefront-Rush Medical Service PA Psychiatry CurrentSince May 10, 2025 Accepting new patients
Uhs of Denver, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Denver Springs Physician Group LLC Psychiatry Current Accepting new patients
Uhs of Denver, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Jun 13, 2024 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Aug 14, 2023 Accepting new patients
Denver Springs Physician Group LLC Psychiatry CurrentSince Sep 1, 2024 Accepting new patients
Forefront-Rosenzweig Medical Services Professional Corporation Psychiatry CurrentSince May 10, 2025 Accepting new patients
Forefront-Rush Medical Services PC Psychiatry CurrentSince May 10, 2025 Accepting new patients
Denver Springs Physician Group LLC Psychiatry CurrentSince Sep 1, 2024 Accepting new patients
Forefront Telecare Medical Services PC Psychiatry CurrentSince May 10, 2025 Accepting new patients
Forefront - Murdock Medical Services PC Psychiatry CurrentSince May 9, 2025 Accepting new patients
White County Medical Center CurrentSince Oct 1, 2020 Accepting new patients
Uhs of Springwoods LLC CurrentSince Jun 10, 2021 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Jun 13, 2024 Accepting new patients
The Bridgeway, LLC CurrentSince Oct 21, 2023 Accepting new patients
Forefront Telecare Inc Psychiatry Past Accepting new patients
Denver Springs, LLC Past Accepting new patients
Denver Springs Physician Group, LLC Psychiatry Past Accepting new patients
Keystone Memphis, LLC Past Accepting new patients

Locations

1955 W Truckers Dr
Fayetteville, AR 72704
Phone (479) 973-6000

2725 Highway 25B
Heber Springs, AR 72543
Phone (501) 362-5800

300 Spring Building
Ste 900
Little Rock, AR 72201
Phone 80099761969238

21 Bridgeway Rd
North Little Rock, AR 72113
Phone (501) 771-1500

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

2908 Hawkins Dr
Searcy, AR 72143
Phone (501) 203-0055

3214 E Race Ave
Searcy, AR 72143
Phone (501) 268-6121

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

11801 Pierce St
Ste 200
Riverside, CA 92505
Phone (323) 547-2662

1325 J St
Ste 1550
Sacramento, CA 95814
Phone (415) 320-7541

1 Harbor Dr
Ste 300
Sausalito, CA 94965
Phone (415) 223-0222

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

14541 Delano St
Van Nuys, CA 91411
Phone (310) 515-8113

7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (515) 513-4913

8835 American Way
Englewood, CO 80112
Phone (720) 643-4300

8565 Poplar Way
Highlands Ranch, CO 80130
Phone (720) 348-2800

200 Union Blvd
Lakewood, CO 80228
Phone (303) 304-1352

16830 Northgate Dr
Ste 103
Parker, CO 80134
Phone (720) 468-4780

8787 Turnpike Dr
Westminster, CO 80031
Phone (720) 214-0826

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

992 Davidson Dr
Ste B
Nashville, TN 37205
Phone (469) 895-9275

250 Browns Hill Ct
Midlothian, VA 23114
Phone (424) 328-6526

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

Interoperability endpoints

  • Direct secure messaging: fahim.rasul.1@24287.direct.athenahealth.com

Organizations & group practices 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1821550245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 E RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W 190TH ST STE 280",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484305",
            "telephone_number": "877-515-8113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2908 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721434802",
            "country_code": "US",
            "telephone_number": "501-203-0055",
            "fax_number": "501-203-0060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2810 Coliseum Centre Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282173255",
            "country_code": "US",
            "telephone_number": "972-449-0540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 Amanda St",
            "address_purpose": "LOCATION",
            "city": "Manteo",
            "state": "NC",
            "postal_code": "279549039",
            "country_code": "US",
            "telephone_number": "252-473-3478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASUL",
        "first_name": "FAHIM",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-13504",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2026-01600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212964795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

Verify at the official NPI Registry.