Active NPI
Anam Rahim
- Nurse Practitioner
- Independence, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2023027346
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2023027346 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P & C Consultant Services | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Current | 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
- 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.
-
- Pulmonary Disease Physician
- Independence, MO
- NPI 1073204673
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
-
- Hospitalist Physician
- Independence, MO
- NPI 1124575923
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerpoint Medical Center
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
-
dba Research Medical Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1134187842
-
dba St. Mary's Medical Center
- General Acute Care Hospital
- Blue Springs, MO
- NPI 1912303579
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.