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EVERSHINEMED BEDFORD
NPI 1982448296
Family Medicine in Bedford, TX

Active since June 21, 2024CLIA 45D2306609 · Waiver
1701 FOREST RIDGE DR, BEDFORD, TX 76022(817) 545-7700(817) 545-2298 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 9, 2024, Jun 23, 2024 (2 updates tracked since 2024).

About Evershinemed Bedford NPPES

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

EVERSHINEMED BEDFORD (NPI 1982448296) is a healthcare organization registered as a family medicine in Bedford, Texas and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through June 20, 2028 and lists Rahim Ruknudin Sewani, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1982448296
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEVERSHINE MED PLLC
Location Address1701 FOREST RIDGE DRBedford, TX 76022-7959
Mailing Address1701 Forest Ridge DrBedford, TX 76022-7959 · (817) 545-7700 · Fax (817) 545-2298
Phone(817) 545-7700
Fax(817) 545-2298
Organization SubpartNo
Authorized OfficialRahim Ruknudin SewaniManaging Member · (630) 853-7049
Enumeration DateJune 21, 2024
Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1982448296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
1701 FOREST RIDGE DR, Bedford, TX 76022
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Other Names 1

Doing Business AsEvershinemed Bedford

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evershinemed Bedford is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Evershinemed Bedford, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Charles Cook, D.O.
Family Practice
NPI 1154364008
1701 FOREST RIDGE DR
Bedford, TX 76022
(817) 545-7700
✔ PECOS✔ Accepts MedicareSame address
Carol King, FNP
Nurse Practitioner
NPI 1184914962
1701 FOREST RIDGE DR
Bedford, TX 76022
(817) 545-7700
✔ PECOSSame address
Rahim Sewani, DO, PHD
Family Practice
NPI 1205463767
1701 FOREST RIDGE DR
Bedford, TX 76022
(817) 545-7700
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2306609

Evershinemed, PLLC · Bedford, TX
Active · expires Jun 20, 2028
CLIA Number45D2306609
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorRahim Sewani
Laboratory Phone(817) 545-7700
Laboratory LocationEvershinemed, PLLC1701 Forest Ridge Drive, Bedford, TX 76022
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Evershine Med PLLC's NPI number?

The NPI number for Evershine Med PLLC is 1982448296. It was assigned to this organization in the NPPES registry on June 21, 2024. The provider is doing business as Evershinemed Bedford.

Where is Evershine Med PLLC located?

Evershine Med PLLC is located at 1701 Forest Ridge Dr, Bedford, TX 76022. The listed phone number is (817) 545-7700.

What is Evershine Med PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Evershine Med PLLC enrolled in Medicare?

Yes. Evershine Med PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evershine Med PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Evershine Med PLLC, in Family Practice 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Evershine Med PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2306609) is associated with this NPI, valid through June 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Evershine Med PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Evershine Med PLLC 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 Evershine Med PLLC was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.