Individual provider Active NPI

Yama N Fazli, MD

  • Emergency Medicine Physician
  • Little Rock, AR
National Provider Identifier
1215679162
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E-19473 Issued in AR
Practice address
1 Childrens Way
Little Rock, AR 72202-3500
Phone
(501) 441-3453
NPI assigned
Apr 11, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-19473 AR Primary

Addresses

Primary practice location

1 Childrens Way
Little Rock, AR 72202-3500

Mailing address

3400 S Bowman Rd Apt 210
Little Rock, AR 72211-4636
Phone (310) 936-5404

Other practice location 1

4301 W Markham St
Little Rock, AR 72205-7101
Phone (501) 686-8000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250818003601 AR Practitioner - Emergency Medicine 3971981044 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenbrier Emergency Services, Inc.Group PAC ID 2668377359, 53 clinicians

Practice addresses (Care Compare)

1555 Exchange Ave
Baptist Health Medical Center Conway
Conway, AR 72032-7824
Phone (501) 585-2000

Hospital & facility affiliations

  • Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036
  • Baptist Health Medical Center- Conway Hospital, Conway, AR, CCN 040154
  • Baptist Health Medical Center-Drew County Hospital, Monticello, AR, CCN 040051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-19473ARMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Booneville CurrentSince Dec 1, 2025 Accepting new patients
Mercy Hospital Paris Current Accepting new patients
Mercy Hospital Paris CurrentSince Dec 1, 2025 Accepting new patients
Mercy Hospital Booneville CurrentSince Dec 1, 2025 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Dec 1, 2025 Accepting new patients
Mercy Hospital Waldron CurrentSince Dec 1, 2025 Accepting new patients
Mercy Hospital Booneville Current Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Dec 1, 2025 Accepting new patients
Monticello Ess LLC Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
HCC of Magnolia LLC CurrentSince Dec 1, 2025 Accepting new patients
Mercy Hospital Paris CurrentSince Dec 1, 2025 Accepting new patients
Ess Hospitalist LLC CurrentSince Oct 15, 2025 Accepting new patients
Mercy Hospital Ozark CurrentSince Dec 1, 2025 Accepting new patients
Mercy Hospital Waldron CurrentSince Dec 1, 2025 Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Aug 3, 2025 Accepting new patients
Mercy Hospital Waldron CurrentSince Dec 1, 2025 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc Emergency Medicine CurrentSince Oct 26, 2025 Accepting new patients
Emergency Staffing Solutions Region III Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Mercy Hospital Ozark CurrentSince Dec 1, 2025 Accepting new patients

Locations

880 W Main St
Booneville, AR 72927
Phone (479) 675-2800

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

1555 Exchange Ave
Conway, AR 72032
Phone (501) 202-2300

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

801 W River St
Ozark, AR 72949
Phone (479) 667-4138

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

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

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 3

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": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1215679162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 S BOWMAN RD APT 210",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114636",
            "telephone_number": "310-936-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-441-3453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAZLI",
        "first_name": "YAMA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-11",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-19473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.