Active NPI
Mouad Abdulrahim, MD
- Psychiatry Physician
- North Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- E-17484
- Practice address
- 3201 Springhill Dr Ste 300
North Little Rock, AR 72117-2909 - Phone
- (501) 753-4132
- NPI assigned
- Mar 29, 2021
- Last updated
- Oct 3, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | E-17484 | AR | Primary |
Addresses
Primary practice location
3201 Springhill Dr Ste 300
North Little Rock, AR 72117-2909
Mailing address
3709 Newlon Rd
Fort Smith, AR 72904-2118
Phone (479) 831-9098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Arkansas College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4253 N Crossover Rd
Fayetteville, AR 72703-4593
Phone (479) 521-5731
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texarkana Behavioral Associates, L.C. | Current | Accepting new patients | |
| Texarkana Behavioral Associates, L.C. | Current | Accepting new patients | |
| Texarkana Behavioral Associates, L.C. | Current | Accepting new patients | |
| The Bridgeway, LLC | Current | Accepting new patients |
Locations
10301 Mayo Dr
Barling, AR 72923
Phone (479) 494-5760
815 Fort St
Ste A
Barling, AR 72923
Phone (479) 494-5740
4253 N Crossover Rd
Fayetteville, AR 72703
Phone (479) 443-6496
21 Bridgeway Rd
North Little Rock, AR 72113
Phone (501) 771-1500
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Valley Behavioral Health System Outpatient Program
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Barling, AR
- NPI 1467483677
-
- Psychiatric Hospital
- North Little Rock, AR
- NPI 1962473306
-
dba Vantage Point of Northwest Arkansas
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fayetteville, AR
- NPI 1194758953
-
dba Vantage Point of Northwest Arkansas
- Psychiatric Hospital
- Fayetteville, AR
- NPI 1639137565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1033797451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3709 NEWLON RD",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729042118",
"telephone_number": "479-831-9098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 SPRINGHILL DR STE 300",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721172909",
"telephone_number": "501-753-4132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDULRAHIM",
"first_name": "MOUAD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-29",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AR",
"license": "E-17484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.