Individual provider Active NPI

Alfred Nesaraj, DO

  • Emergency Medicine Physician
  • Jonesboro, AR
National Provider Identifier
1194219972
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
009894 Issued in AZ
Practice address
225 E Washington Ave
Jonesboro, AR 72401-3111
Phone
(870) 207-4100
NPI assigned
Jun 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 05525 KY
Emergency Medicine Physician 207P00000X 5101025078 MI
Emergency Medicine Physician 207P00000X 009894 AZ Primary

Addresses

Primary practice location

225 E Washington Ave
Jonesboro, AR 72401-3111

Mailing address

225 E Washington Ave
Jonesboro, AR 72401-3111
Phone (870) 207-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AR, KY, VA, NC, TX6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20200909001538 MI Practitioner - Emergency Medicine 7315294550 Reassigns benefits to 1 organization
I20210721003415 AR Practitioner - Emergency Medicine 7315294550 Reassigns benefits to 3 organizations
I20231122001064 KY Practitioner - Emergency Medicine 7315294550 Reassigns benefits to 3 organizations
I20240410000753 VA Practitioner - Emergency Medicine 7315294550 Reassigns benefits to 1 organization
I20241219001660 NC Practitioner - Emergency Medicine 7315294550 Reassigns benefits to 1 organization
I20260609001416 TX Practitioner - Emergency Medicine 7315294550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Pearsall Emergency Medicine Associates, PAGroup PAC ID 1557623147, 45 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
West Fairview Emergency Physicians LLCGroup PAC ID 5799034799, 40 clinicians

Practice addresses (Care Compare)

1 Trillium Way
Corbin, KY 40701-8420
Phone (606) 528-1212

1890 George Dieter Dr
El Paso, TX 79936-4327
Phone (915) 225-7116

1910 Malvern Ave
Hot Springs, AR 71901-7752
Phone (501) 321-1000

200 Hospital Dr
Galax, VA 24333-2227
Phone (276) 236-8181

2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (954) 939-5000

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-1111

Hospital & facility affiliations

  • Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
  • Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138
  • The McDowell Hospital Hospital, Marion, NC, CCN 340087

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101025078MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Fairview Emergency Physicians LLC Emergency Medicine CurrentSince Mar 18, 2026 Accepting new patients
Methodist Health, Inc. Emergency Medicine CurrentSince Jan 23, 2025 Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Sep 10, 2020 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Methodist Health, Inc. CurrentSince Jan 23, 2025 Accepting new patients
St Bernards Hospital Inc. CurrentSince Jul 19, 2021 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

5701 Bow Pointe Dr
Ste 120
Clarkston, MI 48346
Phone (248) 625-2273

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

Organizations & group practices 10

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 10

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1194219972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E WASHINGTON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013111",
            "telephone_number": "870-207-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E WASHINGTON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013111",
            "telephone_number": "870-207-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESARAJ",
        "first_name": "ALFRED",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-15",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "05525",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101025078",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "009894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.