Haider Asim, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Batesville, AR
NPI 1003702697 · NPPES record last updated Jun 23, 2025
Key facts
- NPI
- 1003702697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1710 Harrison St
Batesville, AR 72501-7303 - Phone
- (870) 262-1200
- NPI assigned
- Jun 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250821003491 | AR | Order and Referring Only - Internal Medicine |
9234639543 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- haider.asim.1@13831.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1710 Harrison St
Batesville, AR 72501-7303
Mailing address
4323 Harrison St Apt 57
Batesville, AR 72501-8437
Phone (870) 806-6719
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All providers in Batesville, AR · Student in an Organized Health Care Education/Training Program in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.