Active NPI
Namrah Ali
- Internal Medicine Physician
- Maumelle, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E-18478
- Practice address
- 1701 Club Manor Dr Ste 2B
Maumelle, AR 72113-7401 - Phone
- (501) 851-7402
- Fax
- (501) 851-4753
- NPI assigned
- Apr 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
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.
-
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
-
- Clinical Neurophysiology Physician
- Sherwood, AR
- NPI 1992279905
-
- Neurological Surgery Physician
- White Hall, AR
- NPI 1124032560
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arkansas Health Group
Practice addresses (Care Compare)
1701 Club Manor Dr
Suite 2B
Maumelle, AR 72113-7401
Phone (501) 851-7402
Hospital & facility affiliations
- Baptist Health Medical Center- Conway
- Baptist Health Medical Center-Little Rock
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241001000914 | AR | Practitioner - Internal Medicine | 3971903006 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-18478 | AR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Current | Accepting new patients | |
| Arkansas Health Group | Internal Medicine | Current | Accepting new patients |
| Neurology Clinic of South Arkansas,PA | Past | Accepting new patients | |
| Ncsa PLLC | Past | Accepting new patients |
Locations
1555 Exchange Ave
Conway, AR 72032
Phone (501) 202-2300
9601 Interstate 630
#7
Little Rock, AR 72205
Phone (501) 202-3995
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
1701 Club Manor Dr
#2B
Maumelle, AR 72113
3201 Springhill Dr
Ste 100
North Little Rock, AR 72117
Phone (501) 955-4530
1701 Club Manor Dr
Ste 2B
North Little Rock, AR 72113
Phone (501) 812-7216
3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000
Interoperability endpoints
- nali532905@direct.baptist-healthar.org
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E-18478 | AR | Primary |
Addresses
Primary practice location
1701 Club Manor Dr Ste 2B
Maumelle, AR 72113-7401
Mailing address
11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 851-7402
NPI Registry JSON
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1144809138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 EXECUTIVE CENTER DR STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114393",
"telephone_number": "501-851-7402",
"fax_number": "501-851-4753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 CLUB MANOR DR STE 2B",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721137401",
"telephone_number": "501-851-7402",
"fax_number": "501-851-4753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "NAMRAH",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-06",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-18478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maumelle, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.