Rimsha Hasan, M.D.

Individual provider Active NPI Interventional Cardiology Physician · Conway, AR

NPI 1225418445 · NPPES record last updated Jun 2, 2020

Key facts

NPI
1225418445
Entity type
Individual (NPI type 1)
Primary specialty
Interventional Cardiology Physician 207RI0011X
License
E-12416 (AR)
Practice address
525 Western Ave Ste 202
Conway, AR 72034-4980
Phone
(501) 358-6905
Fax
(888) 419-3709
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Interventional Cardiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fands Physical Therapy, Inc (217 clinicians)
Conway Regional Medical Center Inc (129 clinicians)

Practice addresses (Care Compare)

1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321

525 Western Ave
Suite 202
Conway, AR 72034-4980
Phone (501) 358-6905

Hospital & facility affiliations

  • Conway Regional Medical Center, Inc Hospital · Conway, AR · CCN 040029
  • Dardanelle Regional Medical Center Hospital · Dardanelle, AR · CCN 041302

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting27
Leg revascularization (restoring blood flow)1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200605001661 AR Practitioner - Interventional Cardiology 1456633155 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-12416ARMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Regional Medical Center, Inc. Current
since Jul 1, 2020
Accepting new patients
Conway Regional Medical Center Inc Current
since Jul 1, 2020
Accepting new patients
Conway Regional Medical Center Inc Current
since Jul 1, 2020
Accepting new patients
Conway Regional Medical Center Inc Past Accepting new patients

Locations

525 Western Ave
Ste 304
Conway, AR 72034
Phone (501) 327-7555

525 Western Ave
Ste 302
Conway, AR 72034
Phone (501) 328-5515

525 Western Ave
Ste 2
Conway, AR 72034
Phone (501) 358-6905

525 Western Ave
Ste 202
Conway, AR 72034
Phone (501) 358-6905

200 N 3rd St
Ste 1
Dardanelle, AR 72834
Phone (479) 229-6191

200 N 3rd St
Ste 3
Dardanelle, AR 72834
Phone (479) 229-4677

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X E-12416 AR Yes

Addresses

Primary practice location

525 Western Ave Ste 202
Conway, AR 72034-4980

Mailing address

10100 Kanis Rd
Little Rock, AR 72205-6202
Phone (501) 255-6000

Other providers in Conway, AR

All providers in Conway, AR · Interventional Cardiology Physician in Arkansas

Sources for this page

Verify at the official NPI Registry.