NPIMap

Individual provider Active NPI

Hooman Motahari, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Conway, AR
National Provider Identifier
1073967048
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
E-14647 Issued in AR
Practice address
525 Western Ave Ste 305B
Conway, AR 72034-4982
Phone
(501) 205-4990
Fax
(501) 205-4993
NPI assigned
Apr 15, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X E-14647 AR Primary

Addresses

Primary practice location

525 Western Ave Ste 305B
Conway, AR 72034-4982

Mailing address

PO Box 9662
Conway, AR 72033-9662
Phone (501) 852-1363

Other practice location 1

701 N University Ave Ste 201
Little Rock, AR 72205-2936
Phone (501) 552-4763

Other names 1

  • Hooman Motahari Farimani Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210920001946 AR Practitioner - Endocrinology 7315272572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

525 Western Ave
Suite 305B
Conway, AR 72034-4982
Phone (501) 205-4990

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-14647ARMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Regional Medical Center Inc CurrentSince Jul 1, 2023 Accepting new patients
Conway Regional Medical Center Inc Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2023 Accepting new patients
Conway Regional Medical Center Inc General Acute Care Hospital Past Accepting new patients
St. Vincent Medical Group Past Accepting new patients

Locations

525 Western Ave
Ste 203
Conway, AR 72034
Phone (501) 327-4828

525 Western Ave
Ste 305B
Conway, AR 72034
Phone (501) 205-4990

Interoperability endpoints

  • Direct secure messaging: hmotaharifarimani1054737@nychhc.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1073967048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9662",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720339662",
            "telephone_number": "501-852-1363",
            "fax_number": "501-852-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WESTERN AVE STE 305B",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344982",
            "telephone_number": "501-205-4990",
            "fax_number": "501-205-4993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 N University Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722052936",
            "country_code": "US",
            "telephone_number": "501-552-4763",
            "fax_number": "501-552-4463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTAHARI",
        "first_name": "HOOMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-15",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AR",
            "license": "E-14647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOOMAN",
            "last_name": "FARIMANI",
            "middle_name": "MOTAHARI",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.