Mouad Abdulrahim, MD
Individual provider Active NPI Psychiatry Physician · North Little Rock, AR
NPI 1033797451 · NPPES record last updated Oct 3, 2024
Key facts
- NPI
- 1033797451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- E-17484 (AR)
- Practice address
- 3201 Springhill Dr Ste 300
North Little Rock, AR 72117-2909 - Phone
- (501) 753-4132
- NPI assigned
- Mar 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of Arkansas College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texarkana Behavioral Associates LC
Practice addresses (Care Compare)
4253 N Crossover Rd
Fayetteville, AR 72703-4593
Phone (479) 521-5731
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 |
|---|---|---|---|---|
| I20250103001906 | AR | Practitioner - Psychiatry | 3476962457 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Bridgeway, LLC | Current |
Accepting 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 |
Locations
815 Fort St
Ste A
Barling, AR 72923
Phone (479) 494-5740
10301 Mayo Dr
Barling, AR 72923
Phone (479) 494-5760
4253 N Crossover Rd
Fayetteville, AR 72703
Phone (479) 443-6496
21 Bridgeway Rd
North Little Rock, AR 72113
Phone (501) 771-1500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | E-17484 | AR | Yes |
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
Other providers in North Little Rock, AR
- A Wellness Collective
- A&M Arkansas
- Sadia Aakel
- Ronald Arthur Abbott
- Jaylan Abdullah
- Jesse David Abeler
- Taquinlynn Abernathy
- Elisabeth Abeyta
- Dana Abou-Diab
- Suzanne Abou-Diab
All providers in North Little Rock, AR · Psychiatry Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2024. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.