Individual provider Active NPI

Anam Rahim

  • Nurse Practitioner
  • Independence, MO
National Provider Identifier
1831678788
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2023027346 Issued in MO
Practice address
19550 E 39TH St S Ste 310
Independence, MO 64057-2306
Phone
(913) 222-9779
Fax
(816) 698-7378
NPI assigned
Aug 11, 2018
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2023027346 MO Primary

Addresses

Primary practice location

19550 E 39TH St S Ste 310
Independence, MO 64057-2306

Mailing address

6620 Main St
Houston, TX 77030-2348

Other practice location 1

19600 E 39th St S
Independence, MO 64057-2301
Phone (913) 222-9779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181004001151 TX Practitioner - Nurse Practitioner 0042562993 Reassigns benefits to 1 organization
I20231102003368 MO Practitioner - Nurse Practitioner 0042562993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical Branch at Galveston, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
P and C Consultant ServicesGroup PAC ID 7113380833, 11 clinicians

Practice addresses (Care Compare)

19600 E 39TH St S
Independence, MO 64057-2301
Phone (913) 222-9779

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2023027346MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
P & C Consultant Services CurrentSince Sep 24, 2023 Accepting new patients
Baylor College of Medicine CurrentSince Sep 1, 2018 Accepting new patients
Baylor College of Medicine CurrentSince Sep 1, 2018 Accepting new patients
P&C Healthcare LLC Past Accepting new patients

Locations

1500 W Truman Rd
Independence, MO 64050
Phone (816) 373-1911

19550 E 39th St S
Ste 419
Independence, MO 64057
Phone (816) 453-7771

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

19550 E 39th St S
Ste 310
Independence, MO 64057
Phone (816) 350-1200

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

6620 Main St
Houston, TX 77030
Phone (713) 520-8432

6620 Main St
Ste 1225
Houston, TX 77030
Phone (713) 798-2400

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHAEDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1533945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1831678788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S STE 310",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572306",
            "telephone_number": "913-222-9779",
            "fax_number": "816-698-7378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19600 E 39th St S",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640572301",
            "country_code": "US",
            "telephone_number": "913-222-9779",
            "fax_number": "816-312-4380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHIM",
        "first_name": "ANAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-11",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2023027346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.