Ozark Rural Healthcare LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OZARK RURAL HEALTHCARE LLC

Practice address

7505 E 87TH St
Kansas City, MO 64138-3917

Phone

(573) 201-0356

Fax

(689) 788-4090

NPI assigned

Jul 19, 2022

Organization subpart

No

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

Authorized official

Name

Sarfaraz JasdanwalaNPI 1851646665

Title

MD

Phone

(312) 953-5636

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Ozark Rural Healthcare LLC

  • Clinic/Center
  • Poplar Bluff, MO
  • NPI 1871218099

  O20221005000237

  Same enrollment

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarfaraz A Jasdanwala, MD

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1851646665

  MO

  Medicare reassignment NPD Authorized official
• Caisie Nichole Nowack, DNP-FNP

  • Family Nurse Practitioner
  • Owensville, MO
  • NPI 1275252793
  Medicare reassignment NPD
• Andrea Constance Jasdanwala, FNP-C

  • Family Nurse Practitioner
  • Kansas City, MO
  • NPI 1619405602
  NPD
• Frank J Villamayor, PA-C

  • Medical Physician Assistant
  • Poplar Bluff, MO
  • NPI 1144479254
  NPD

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1851026439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 E 87TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641383917",
            "telephone_number": "573-201-0356",
            "fax_number": "689-788-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 E 87TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641383917",
            "telephone_number": "573-201-0356",
            "fax_number": "689-788-4090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13603 Barrett Office Dr",
            "address_purpose": "LOCATION",
            "city": "Ballwin",
            "state": "MO",
            "postal_code": "630217839",
            "country_code": "US",
            "telephone_number": "573-201-0356",
            "fax_number": "689-788-4090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OZARK RURAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "JASDANWALA",
        "authorized_official_first_name": "SARFARAZ",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "312-953-5636"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tosan F Oyowe, M.D.
• Mangesh D Oza, M.D.
• Ozanam
• Ozark Healthcare LLC
• Ozark Recovery Housing LLC
• Mert Can Ozdemir
• Can Ozlu, M.D.
• Patience Ozor, D.O.
• Maninder Pabla, MD
• Natalie Pabotoy, MD

• Internal Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.