Active NPI
Naznin Jamal, MD
- Internal Medicine Physician
- Pine Bluff, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E-8312
- Practice address
- 1600 W 40TH Ave
Pine Bluff, AR 71603-6301 - Phone
- (870) 541-7100
- NPI assigned
- Jun 9, 2008
- Last updated
- Feb 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | BP10030893 | TX | |
| Internal Medicine Physician | 207R00000X | E-8312 | AR | Primary |
Addresses
Primary practice location
1600 W 40TH Ave
Pine Bluff, AR 71603-6301
Mailing address
75 Riverfront Dr
Apt. 214
North Little Rock, AR 72114-5948
Phone (870) 541-7100
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
- Internal Medicine
- Education
- University of Texas Medical Branch at Galveston, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 W 40TH Ave
Pine Bluff, AR 71603-6301
Phone (870) 541-7211
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-8312 | AR | MD | Internal Medicine Physician |
| BP10030893 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Hospital Association, Inc | Current | Accepting new patients | |
| Southeast Arkansas Hospitalists, LLP | Current | Accepting new patients | |
| Jefferson Hospital Association, Inc | Current | Accepting new patients | |
| Physician Senior Services, PLLC | Past | Accepting new patients | |
| Physician Psych Services PLLC | Past | Accepting new patients |
Locations
1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100
1601 W 40th Ave
Ste 301
Pine Bluff, AR 71603
Phone (870) 541-4285
1609 W 40th Ave
Ste 403
Pine Bluff, AR 71603
Phone (870) 534-4188
Interoperability endpoints
- https://api.platform.athenahealth.com/1504/brand/5/csg/87/fhir/r4
Organizations & group practices 5
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.
-
- Pulmonary Disease Physician
- Pine Bluff, AR
- NPI 1932157674
-
- Hospitalist Physician
- Pine Bluff, AR
- NPI 1912374018
-
- Family Medicine Physician
- Star City, AR
- NPI 1568123982
-
- Geriatric Psychiatry Physician
- Hurst, TX
- NPI 1811818511
-
- Family Medicine Physician
- Hurst, TX
- NPI 1659695146
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Medical Center - Drew County
- General Acute Care Hospital
- Monticello, AR
- NPI 1962283192
-
- Community Based Hospice Care Agency
- White Hall, AR
- NPI 1912045899
-
dba Jefferson Regional Medical Center
- General Acute Care Hospital
- Pine Bluff, AR
- NPI 1710931985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1083873590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 RIVERFRONT DR",
"address_2": "APT. 214",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721145948",
"telephone_number": "870-541-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W 40TH AVE",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716036301",
"telephone_number": "870-541-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMAL",
"first_name": "NAZNIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-09",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "BP10030893",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-8312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.