Individual provider Active NPI

Noormahal Kabani, M.D.

  • Pulmonary Disease Physician
  • Pine Bluff, AR
National Provider Identifier
1225073596
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
E2334 Issued in AR
Practice address
3801 Camden Rd
Suite 22
Pine Bluff, AR 71603-4612
Phone
(870) 879-3007
NPI assigned
Jun 19, 2006
Last updated
Apr 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X E2334 AR Primary

Addresses

Primary practice location

3801 Camden Rd
Suite 22
Pine Bluff, AR 71603-4612

Mailing address

3801 Camden Rd
Suite 22
Pine Bluff, AR 71603-4612
Phone (870) 879-3007

Other identifiers 2

IdentifierTypeStateIssuer
5L312OtherARBLUE CROSS
140511001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220217001155 TX Practitioner - Internal Medicine 7012939978 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E2334ARMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Critical Care Services, P.C. CurrentSince Jan 7, 2022 Accepting new patients

Locations

7505 Main St
Ste 550
Houston, TX 77030

Interoperability endpoints

  • Direct secure messaging: nkabani206530@selfregional.direct-ci.net
  • Direct secure messaging: nkabani91908@direct.ahsys.org

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1225073596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 CAMDEN RD",
            "address_2": "SUITE 22",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716034612",
            "telephone_number": "870-879-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 CAMDEN RD",
            "address_2": "SUITE 22",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716034612",
            "telephone_number": "870-879-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABANI",
        "first_name": "NOORMAHAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AR",
            "license": "E2334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5L312",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140511001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.