Individual provider Active NPI

Kiran Goushika Chellal Paramasivam, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Fort Smith, AR
National Provider Identifier
1013761469
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Mercy Hospital Fort Smith, Attn: Gme Department
7301 Rogers Ave
Fort Smith, AR 72903
Phone
(479) 314-6000
Fax
(479) 314-4705
NPI assigned
Apr 12, 2024
Reactivated
May 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

Mercy Hospital Fort Smith, Attn: Gme Department
7301 Rogers Ave
Fort Smith, AR 72903

Mailing address

Mercy Hospital Fort Smith, Attn: Gme Department
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1013761469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MERCY HOSPITAL FORT SMITH, ATTN: GME DEPARTMENT",
            "address_2": "7301 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72903",
            "telephone_number": "479-314-6000",
            "fax_number": "479-314-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MERCY HOSPITAL FORT SMITH, ATTN: GME DEPARTMENT",
            "address_2": "7301 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72903",
            "telephone_number": "479-314-6000",
            "fax_number": "479-314-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELLAL PARAMASIVAM",
        "first_name": "KIRAN GOUSHIKA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2025-05-01",
        "deactivation_date": "2024-11-25",
        "reactivation_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.