Active NPI
Jamal Ziad Abdin, M.D.
- Family Medicine Physician
- Farmington, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E3510
- Practice address
- 199 E Main St
Farmington, AR 72730-3023 - Phone
- (479) 267-1001
- Fax
- (479) 267-1026
- NPI assigned
- Oct 31, 2005
- Last updated
- Feb 10, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E3510 | AR | Primary |
Addresses
Primary practice location
199 E Main St
Farmington, AR 72730-3023
Mailing address
199 E Main St
Farmington, AR 72730-3023
Phone (479) 267-1001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149834001 | Medicaid | AR |
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
- Family Practice
- Education
- University of Arkansas College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Washington Regional Medical System
Practice addresses (Care Compare)
199 E Main St
Farmington, AR 72730-3077
Phone (479) 267-1001
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Regional Medical System | Family Medicine | Current | Accepting new patients |
| Washington Regional Medical System | Family Medicine | Current | Accepting new patients |
| Washington Regional Medical System | Current | Accepting new patients | |
| Washington Regional Medical Center | Past | Accepting new patients | |
| QHG of Springdale Inc | Past | Accepting new patients |
Locations
199 E Main St
Farmington, AR 72730
Phone (479) 267-1001
114 E Sunbridge Dr
Fayetteville, AR 72703
Phone (479) 463-2597
3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000
Interoperability endpoints
- jabdin23255@washingtonregional.direct-ci.com
- jamalabdin@wrms.allscriptsdirect.net
Organizations & group practices 6
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 Washington Regional Family Clinic - Farmington
- Family Medicine Physician
- Farmington, AR
- NPI 1275839011
-
dba Washington Regional Family Clinic - Springdale
- Family Medicine Physician
- Springdale, AR
- NPI 1326376419
-
- Family Medicine Physician
- Farmington, AR
- NPI 1952316390
-
dba Washington Regional Maternal Fetal Medicine Clinic
- Maternal & Fetal Medicine Physician
- Fayetteville, AR
- NPI 1497323554
-
dba Northwest Medical Center of Washington County
- Neonatal-Perinatal Medicine Physician
- Springdale, AR
- NPI 1730292434
-
- General Acute Care Hospital
- Fayetteville, AR
- NPI 1083609150
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fayetteville, AR
- NPI 1083609150
-
dba Washington Regional Home Health
- Home Health Agency
- Fayetteville, AR
- NPI 1497956213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265760000000",
"number": "1043201940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 E MAIN ST",
"city": "FARMINGTON",
"state": "AR",
"postal_code": "727303023",
"telephone_number": "479-267-1001",
"fax_number": "479-267-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 E MAIN ST",
"city": "FARMINGTON",
"state": "AR",
"postal_code": "727303023",
"telephone_number": "479-267-1001",
"fax_number": "479-267-1026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDIN",
"first_name": "JAMAL",
"middle_name": "ZIAD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2010-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E3510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149834001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.