NPIMap

Individual provider Active NPI

Ismail Hamdan Ihmeidan, M.D.

  • Diagnostic Radiology Physician
  • Fort Smith, AR
National Provider Identifier
1053391524
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C8341 Issued in AR
Practice address
1001 Towson Ave
Fort Smith, AR 72901-4921
Phone
(479) 441-4000
NPI assigned
Jan 19, 2006
Last updated
Apr 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X C8341 AR Primary

Addresses

Primary practice location

1001 Towson Ave
Fort Smith, AR 72901-4921

Mailing address

PO Box 1983
Fort Smith, AR 72902-1983
Phone (479) 452-9416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, VA, OK3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050406001166 AR Practitioner - Diagnostic Radiology 0840247359 Reassigns benefits to 4 organizations
I20220602003132 VA Practitioner - Diagnostic Radiology 0840247359 Reassigns benefits to 3 organizations
I20260612001646 OK Practitioner - Diagnostic Radiology 0840247359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear View Radiology PLLCGroup PAC ID 1850837964, 25 clinicians
North Arkansas RadiologyGroup PAC ID 0648372763, 27 clinicians
Radiology Associates of Roanoke, PCGroup PAC ID 2365407574, 6 clinicians
Reston Radiology Consultants, PCGroup PAC ID 1557436730, 35 clinicians
Radiologists of Russellville PAGroup PAC ID 4385741685, 27 clinicians
Roanoke Imaging LLCGroup PAC ID 9436215662, 18 clinicians

Practice addresses (Care Compare)

1100 E Poplar St
Clarksville, AR 72830-4419
Phone (479) 452-9416

1323 NW 6TH Ave
Stillwater, OK 74074-4306
Phone (479) 452-9416

1710 Harrison St
Batesville, AR 72501-7303
Phone (870) 262-1200

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4052

24440 Stone Springs Blvd
Sterling, VA 20166-2247
Phone (703) 726-1201

3301 W Main PL
Russellville, AR 72801-2334
Phone (479) 968-7930

4330 Brambleton Ave
Roanoke, VA 24018-3405
Phone (540) 283-3700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C8341ARMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roanoke Imaging LLC Diagnostic Radiology CurrentSince Jan 16, 2024 Accepting new patients
Radiology Services P a Diagnostic Radiology CurrentSince Feb 1, 1999 Accepting new patients
Clear View Radiology, PLLC Diagnostic Radiology CurrentSince Aug 24, 2025 Accepting new patients
Reston Radiology Consultants, PC Diagnostic Radiology CurrentSince Sep 15, 2025 Accepting new patients
Radiologists of Russellville PA Diagnostic Radiology CurrentSince Dec 10, 2025 Accepting new patients
Radiology Associates of Roanoke P C Diagnostic Radiology CurrentSince Mar 25, 2022 Accepting new patients
South Central Oklahoma Radiology PLLC Diagnostic Radiology PastSince Aug 1, 2021 Accepting new patients
R and a Radiology LLP Diagnostic Radiology Past Accepting new patients

Locations

1100 E Poplar St
Clarksville, AR 72830
Phone (479) 754-5393

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

1500 Dodson Ave
Fort Smith, AR 72901
Phone (479) 441-2600

310 Lexington Ave
Fort Smith, AR 72901
Phone (479) 494-0500

5707 Jenny Lind Rd
Fort Smith, AR 72908
Phone (479) 242-2546

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178

3301 W Main Pl
Russellville, AR 72801
Phone (855) 498-6768

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

710 S 13th St
Blackwell, OK 74631
Phone (580) 363-2311

105 Wall St
Poteau, OK 74953
Phone (918) 635-3100

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

4330 Brambleton Ave
Roanoke, VA 24018
Phone (540) 283-3700

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

Organizations & group practices 9

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 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1053391524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1983",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729021983",
            "telephone_number": "479-452-9416",
            "fax_number": "479-484-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TOWSON AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014921",
            "telephone_number": "479-441-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHMEIDAN",
        "first_name": "ISMAIL",
        "middle_name": "HAMDAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "C8341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.