OZARK RURAL HEALTHCARE LLC
NPI 1871218099
Clinic/Center in Poplar Bluff, MO
About Ozark Rural Healthcare Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OZARK RURAL HEALTHCARE LLC (NPI 1871218099) is a healthcare organization registered as a clinic/center in Poplar Bluff, Missouri and active in the NPI registry since October 2022. The organization lists Sarfaraz Abdeali Jasdanwala, Owner/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ozark Rural Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Ozark Rural Healthcare LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ozark Rural Healthcare LLC's NPI number?
The NPI number for Ozark Rural Healthcare LLC is 1871218099. It was assigned to this organization in the NPPES registry on October 10, 2022.
Where is Ozark Rural Healthcare LLC located?
Ozark Rural Healthcare LLC is located at 3001 Warrior Ln, Poplar Bluff, MO 63901. The listed phone number is (312) 953-5636.
What is Ozark Rural Healthcare LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Ozark Rural Healthcare LLC enrolled in Medicare?
Yes. Ozark Rural Healthcare LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ozark Rural Healthcare LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ozark Rural Healthcare LLC, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ozark Rural Healthcare LLC was last updated on October 10, 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.
# Ozark Rural Healthcare Llc · NPI 1871218099
Clinic/Center organization in Poplar Bluff, Missouri. Organization record, active in the CMS NPPES registry since October 10, 2022.
## Identity
- **NPI:** 1871218099 (Entity type: Organization)
- **Enumerated:** October 10, 2022
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Sarfaraz Jasdanwala, OWNER/CEO
## Practice location
- **Address:** 3001 WARRIOR LN, Poplar Bluff, MO 63901-8685
- **Phone:** (312) 953-5636
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1871218099) · Data from the CMS NPPES public registry.