Individual provider Active NPI

Mary Alimat Raheem

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1891574695
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08230257 Issued in TX
Practice address
10622 State Highway 151 Ste 208
San Antonio, TX 78251-4864
Phone
(210) 674-6130
Fax
(210) 674-0990
NPI assigned
Sep 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F08230257 TX Primary

Addresses

Primary practice location

10622 State Highway 151 Ste 208
San Antonio, TX 78251-4864

Mailing address

10622 State Highway 151 Ste 208
San Antonio, TX 78251-4864
Phone (210) 674-6130

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240112004297 TX Practitioner - Nurse Practitioner 2264884360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F08230257TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reeves County Hospital District CurrentSince Nov 26, 2023 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Aug 4, 2025 Accepting new patients
Reeves County Hospital District CurrentSince Nov 26, 2023 Accepting new patients
Wellmed Medical Group, PA CurrentSince Aug 4, 2025 Accepting new patients

Locations

2323 Texas St
Pecos, TX 79772
Phone (432) 447-3551

2335 Medical Dr
Ste Rhc
Pecos, TX 79772

2349 Medical Dr
Pecos, TX 79772
Phone (432) 447-0565

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

10622 State Highway 151
Ste 208
San Antonio, TX 78251
Phone (210) 674-6130

9179 Grissom Rd
Ste 101
San Antonio, TX 78251
Phone (210) 680-8081

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

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.

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1891574695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10622 STATE HIGHWAY 151 STE 208",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514864",
            "telephone_number": "210-674-6130",
            "fax_number": "210-674-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10622 STATE HIGHWAY 151 STE 208",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514864",
            "telephone_number": "210-674-6130",
            "fax_number": "210-674-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHEEM",
        "first_name": "MARY",
        "middle_name": "ALIMAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F08230257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.