Charles Moussallem, M.D

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

E-8013 Issued in AR

Practice address

1500 Dodson Ave # 280
Fort Smith, AR 72901-5182

Phone

(479) 542-1500

Fax

(833) 455-6711

NPI assigned

Nov 2, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR, OK2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nephrology

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Health ServicesGroup PAC ID 0648514133, shared by 2 NPIs, 103 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ft Smith Regional Dialysis Ctr Dialysis facility, Fort Smith, AR, CCN 042501
• Poteau Dialysis Ctr Dialysis facility, Poteau, OK, CCN 372559
• Van Buren Dialysis Center Dialysis facility, Van Buren, AR, CCN 042600
• Baptist Health - Fort Smith Hospital, Fort Smith, AR, CCN 040055
• Baptist Health - Van Buren Hospital, Van Buren, AR, CCN 040018
• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
• Encompass Health Rehabilitation Hospital Ft Smith Inpatient rehabilitation facility, Fort Smith, AR, CCN 043028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmoussallem219531@direct.baptist-healthar.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baptist Health Services

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1750856043

  Nephrology, OK

  Medicare reassignment NPD
• Baptist Health Services

  • Foot & Ankle Surgery Podiatrist
  • Fort Smith, AR
  • NPI 1922587690
  Medicare reassignment NPD
• Fort Health Partners PLLC

  • Nephrology Physician
  • Fort Smith, AR
  • NPI 1114858339
  NPD Authorized official
• Baptist Health Regional Hospitals

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1710463146
  NPD (past)
• Fort Smith Regional Dialysis Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Smith, AR
  • NPI 1871596916
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fort Smith Regional Dialysis Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Smith, AR
  • NPI 1871596916

  Dialysis facility

  Care Compare affiliation Name & address match
• Fort Smith Regional Dialysis Center, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Van Buren, AR
  • NPI 1760092597

  Dialysis facility

  Care Compare affiliation Name & address match
• Fort Smith Regional Dialysis Center, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Poteau, OK
  • NPI 1912900044

  Dialysis facility

  Care Compare affiliation Name & address match
• Baptist Health

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682
  Care Compare affiliation
• Baptist Health Regional Hospitals

  • General Acute Care Hospital
  • Van Buren, AR
  • NPI 1154807584
  Care Compare affiliation
• Baptist Health Regional Hospitals

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1710463146
  Care Compare affiliation
• Encompass Health Rehabilitation Hospital of Fort Smith, LLC

  • Rehabilitation Hospital
  • Fort Smith, AR
  • NPI 1639142342

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1023318334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 DODSON AVE # 280",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729015182",
            "telephone_number": "479-542-1500",
            "fax_number": "833-455-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DODSON AVE # 280",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729015182",
            "telephone_number": "479-542-1500",
            "fax_number": "833-455-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSSALLEM",
        "first_name": "CHARLES",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-02",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AR",
            "license": "E-8013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200504590A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Nephrology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.