NPIMap

Individual provider Active NPI

Muhammad Ahmer Kashif, M.D.

  • Nephrology Physician
  • Pine Bluff, AR
National Provider Identifier
1194719203
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
E-3969 Issued in AR
Practice address
1801 W 40TH Ave
Suite 7a
Pine Bluff, AR 71603-6940
Phone
(870) 536-1400
Fax
(870) 536-5196
NPI assigned
Sep 2, 2005
Last updated
Sep 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X E3969 AR
Nephrology Physician 207RN0300X E-3969 AR Primary

Addresses

Primary practice location

1801 W 40TH Ave
Suite 7a
Pine Bluff, AR 71603-6940

Mailing address

PO Box 2738
Pine Bluff, AR 71613-2738
Phone (870) 536-1400

Other identifiers 1

IdentifierTypeStateIssuer
154159001MedicaidAR

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
I20040519001372 AR Practitioner - Internal MedicinePractitioner - Nephrology 7517958473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1801 W 40TH Ave
Suite 7a
Pine Bluff, AR 71603-6964
Phone (870) 536-1400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
39.05 of 100Reported as individual
Quality
26.39
Improvement activities
0
Cost
67.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E3969ARMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Nephrology & Hypertension Clinic PA CurrentSince Jan 10, 2010 Accepting new patients
Cosmetic & Vein Center of Oklahoma PastSince Jan 10, 2010 Accepting new patients

Locations

1801 W 40th Ave
Ste 7A
Pine Bluff, AR 71603
Phone (870) 534-6700

2302 W 28th Ave
Ste A
Pine Bluff, AR 71603
Phone (870) 536-1400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHACA/Endpoint/JIHACA

Organizations & group practices 2

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 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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1194719203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2738",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716132738",
            "telephone_number": "870-536-1400",
            "fax_number": "870-536-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W 40TH AVE",
            "address_2": "SUITE 7A",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036940",
            "telephone_number": "870-536-1400",
            "fax_number": "870-536-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHIF",
        "first_name": "MUHAMMAD",
        "middle_name": "AHMER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AR",
            "license": "E3969",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AR",
            "license": "E-3969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154159001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.