MS. RACHEL TANYA BOODRAM MD
NPI 1720600737
Student in an Organized Health Care Education/Training Program in Amarillo, TX

Active since May 13, 2020PECOS Enrolled
1400 S. COULTER STREET, SUITE 1500, AMARILLO, TX 79106(806) 414-9800(806) 354-5689 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 23, 2022, Jan 18, 2022, May 13, 2020 (3 updates tracked since 2020).

About Ms. Rachel Tanya Boodram Md NPPES

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

MS. RACHEL TANYA BOODRAM MD (NPI 1720600737) is an individual student in an organized health care education/training program in Amarillo, Texas and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ulysses.

NPPES Registry Identity

NPI1720600737
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. RACHEL TANYA BOODRAMCredential: MD
Location Address1400 S. COULTER STREET, SUITE 1500Amarillo, TX 79106-1786
Mailing Address1400 S. Coulter Street, Suite 1500Amarillo, TX 79106-1786 · (806) 414-9800 · Fax (806) 354-5689
Fax(806) 354-5689
Sole ProprietorNo
Enumeration DateMay 13, 2020
Last NPPES UpdateMay 23, 20223 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
✔ NPI 1720600737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1400 S. COULTER STREET, Amarillo, TX 79106

Secondary Practice Location 1

Location 1505 N Main StUlysses, KS 67880-2135 · Phone (620) 356-1261 · Fax (620) 356-3846

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Rachel Tanya Boodram 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.

Medicare Billing Reassignment

Medicare enrollment records show Rachel Boodram reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
2132 N KANSAS AVE STE C
Liberal, KS 67901
  • Reassigned Medicare billing, Kansas enrollment
  • 82 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 17

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

Student in an Organized Health Care Education/Training Program
1400 S. COULTER STREET, SUITE 2500
AMARILLO, TX 79106
Student in an Organized Health Care Education/Training Program
1400 S. COULTER STREET, SUITE 2500
AMARILLO, TX 79106
Internal Medicine
1400 S. COULTER STREET, SUITE 2500
AMARILLO, TX 79106
Pediatrics
1400 S. COULTER STREET, SUITE 1500
AMARILLO, TX 79106
Student in an Organized Health Care Education/Training Program
1400 S. COULTER STREET, SUITE 2500
AMARILLO, TX 79106
Student in an Organized Health Care Education/Training Program
1400 S. COULTER STREET, SUITE 2500
AMARILLO, TX 79106
Student in an Organized Health Care Education/Training Program
1400 S. COULTER STREET, SUITE 1500
AMARILLO, TX 79106
Pediatrics
1400 S. COULTER STREET, SUITE 1500
AMARILLO, TX 79106

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 Rachel Boodram's NPI number?

The NPI number for Rachel Boodram is 1720600737. It was assigned to this individual provider in the NPPES registry on May 13, 2020.

Where is Rachel Boodram located?

Rachel Boodram practices at 1400 S. Coulter Street Suite 1500, Amarillo, TX 79106. The listed phone number is (806) 414-9800.

What is Rachel Boodram's specialty?

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

Is Rachel Boodram enrolled in Medicare?

Yes. Rachel Boodram is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rachel Boodram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Boodram reassigns Medicare benefits to Commonspirit Kansas, Inc. (Liberal, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rachel Boodram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Boodram accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and UnitedHealthcare list Rachel Boodram as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rachel Boodram was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.