1. Home
  2. Directory
  3. Arkansas
  4. Fayetteville
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

RASIM OMAR SHAH MD
NPI 1669224218
Student in an Organized Health Care Education/Training Program in Fayetteville, AR

Active since April 04, 2024PECOS Enrolled
1125 N COLLEGE AVE # SLOT100, FAYETTEVILLE, AR 72703(479) 713-8310 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rasim Omar Shah Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RASIM OMAR SHAH MD (NPI 1669224218) is an individual student in an organized health care education/training program in Fayetteville, Arkansas and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669224218
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRASIM OMAR SHAHCredential: MD
Location Address1125 N COLLEGE AVE # SLOT100Fayetteville, AR 72703-1908
Mailing Address4306 Garland AvePine Bluff, AR 71603-4638 · (501) 416-6148
Phone(479) 713-8310
Sole ProprietorYes
Enumeration DateApril 4, 2024
NPPES CertifiedApril 4, 2024
✔ NPI 1669224218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1125 N COLLEGE AVE # SLOT100, Fayetteville, AR 72703
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rasim Omar Shah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLUWASEUN ABAYOMI OGUNTUASE MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE # SLOT100
FAYETTEVILLE, AR 72703
Washington County (479) 713-8310
SASIN PAYAKACHAT MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE # SLOT100
FAYETTEVILLE, AR 72703
Washington County (479) 713-8310
JENNIFER SARAH GEORGE DO
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE # SLOT100
FAYETTEVILLE, AR 72703
Washington County (479) 713-8310
CHINEMEREM MARTLIN EMEASOBA MBBS
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE # SLOT100
FAYETTEVILLE, AR 72703
Washington County (479) 713-8310
LEAH PITTMAN MD
Internal Medicine
1125 N COLLEGE AVE # SLOT100
FAYETTEVILLE, AR 72703
Washington County (479) 713-8310
MOHAMMAD ABEEL TARIQ MD, MBBS
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE # SLOT100
FAYETTEVILLE, AR 72703
Washington County (479) 713-8310
JORDAN ILAH POWERS MD
Internal Medicine
1125 N COLLEGE AVE # SLOT100
FAYETTEVILLE, AR 72703
Washington County (479) 713-8310
ZEYTUN MOHAMED GUYO MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE # SLOT100
FAYETTEVILLE, AR 72703
Washington County (479) 713-8310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rasim Shah's NPI number?

The NPI number for Rasim Shah is 1669224218. It was assigned to this individual provider in the NPPES registry on April 4, 2024.

Where is Rasim Shah located?

Rasim Shah practices at 1125 N College Ave # Slot100, Fayetteville, AR 72703. The listed phone number is (479) 713-8310.

What is Rasim Shah's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Rasim Shah enrolled in Medicare?

Yes. Rasim Shah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rasim Shah was last updated on April 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.