Individual provider Active NPI

Abdulrahman Raja, DO

  • Emergency Medicine Physician
  • Liberty, MO
National Provider Identifier
1861493363
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R9E58 Issued in MO
Practice address
2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone
(816) 792-7000
NPI assigned
Aug 9, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R9E58 MO Primary

Addresses

Primary practice location

2525 Glenn Hendren Dr
Liberty, MO 64068-9625

Mailing address

PO Box 411375
Kansas City, MO 64141-1375
Phone (816) 781-9222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100422000401 MO Practitioner - Emergency Medicine 4587730056 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11008 Jackson Ave
Kansas City, MO 64137-2041

4007 Estate Diamond Ruby
Christiansted, VI 00820-4435

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R9E58MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camden Emergency Group LLC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Mercy Hospital Springfield CurrentSince Mar 1, 2022 Accepting new patients
Mercy Hospital Springfield CurrentSince Mar 1, 2022 Accepting new patients
Liberty Emergency Physicians, Inc. Emergency Medicine CurrentSince Jul 23, 2008 Accepting new patients
Ies Missouri LLC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Southeast Health Center of Stoddard County, LLC CurrentSince May 18, 2023 Accepting new patients
Southeast Health Center of Stoddard County LLC Emergency Medicine CurrentSince May 18, 2023 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Nov 16, 2025 Accepting new patients
Southeast Health Center of Stoddard County, LLC Current Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Nov 16, 2025 Accepting new patients

Locations

1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Organizations & group practices 11

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 1

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861493363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411375",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641411375",
            "telephone_number": "816-781-9222",
            "fax_number": "816-781-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 GLENN HENDREN DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640689625",
            "telephone_number": "816-792-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJA",
        "first_name": "ABDULRAHMAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "R9E58",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

Verify at the official NPI Registry.