Individual provider Active NPI

Jamal Ziad Abdin, M.D.

  • Family Medicine Physician
  • Farmington, AR
National Provider Identifier
1043201940
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E3510 Issued in AR
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
149834001MedicaidAR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309000425 AR Practitioner - Family Practice 7416845664 Reassigns benefits to 2 organizations

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 SystemGroup PAC ID 8820995434, shared by 13 NPIs, 238 clinicians

Practice addresses (Care Compare)

199 E Main St
Farmington, AR 72730-3077
Phone (479) 267-1001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System Family Medicine CurrentSince Jan 28, 2011 Accepting new patients
Washington Regional Medical System Family Medicine Current Accepting new patients
Washington Regional Medical System CurrentSince Jan 31, 2025 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

  • Direct secure messaging: jabdin23255@washingtonregional.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.