Active NPI
Ayman Alshami, MD
- Specialist
- Pine Bluff, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- E-1795
- Practice address
- 1601 W 40TH Ave
Suite 301
Pine Bluff, AR 71603-6319 - Phone
- (870) 541-4285
- Fax
- (870) 541-4297
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | E-1795 | AR | Primary |
Addresses
Primary practice location
1601 W 40TH Ave
Suite 301
Pine Bluff, AR 71603-6319
Mailing address
1601 W 40TH Ave
Suite 301
Pine Bluff, AR 71603-6319
Phone (870) 541-4285
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5K975 | Other | AR | BCBS |
| 135341001 | Medicaid | AR |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031121000234 | AR | Practitioner - Cardiovascular Disease (Cardiology) | 4385548361 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jefferson Hospital Association, IncSaline Clinics LLC
Practice addresses (Care Compare)
1601 W 40TH Ave
301 Cardiology Associates
Pine Bluff, AR 71603-6069
Phone (870) 541-4285
2729 S Hwy 65 82
Cardiology Associates of South Ark Chicot M
Lake Village, AR 71653-6136
Phone (870) 367-2411
3 Medical Park Dr
Suite 301
Benton, AR 72015-3726
Phone (501) 574-7940
Hospital & facility affiliations
- Saline Memorial Hospital
- Jefferson Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartcare Clinic | Specialist | Current | Accepting new patients |
| Jefferson Hospital Association, Inc | Current | Accepting new patients | |
| Jefferson Hospital Association Inc | Current | Accepting new patients | |
| Saline Clinics LLC | Current | Accepting new patients | |
| Jefferson Hospital Association, Inc | Current | Accepting new patients | |
| Jefferson Hospital Assn, Inc. | Current | Accepting new patients | |
| Jefferson Heart, P.a. | Specialist | Current | Accepting new patients |
| Jefferson Hospital Association, Inc | Current | Accepting new patients | |
| South Arkansas Heart & Vascular Associates, P.a. | Specialist | Past | Accepting new patients |
Locations
3 Medical Park Dr
Ste 301
Benton, AR 72015
Phone (501) 315-8818
1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000
2729 S Highway 65 82
Lake Village, AR 71653
Phone (870) 265-5351
1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100
1601 W 40th Ave
Ste 301
Pine Bluff, AR 71603
Phone (870) 541-4285
1609 W 40th Ave
Ste 403
Pine Bluff, AR 71603
Phone (870) 534-4188
4747 Dusty Lake Dr
Ste 203
Pine Bluff, AR 71603
Phone (870) 541-4280
4747 Dusty Lake Dr
Pine Bluff, AR 71603
Phone (870) 541-8701
7500 Dollarway Rd
Ste 301
White Hall, AR 71602
Phone (706) 296-8632
Interoperability endpoints
- ayman.alshami.1@16686.direct.athenahealth.com
- aymanalshami@jrmc.allscriptsdirect.net
- https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4
Organizations & group practices 14
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.
-
- Cardiovascular Disease Physician
- Pine Bluff, AR
- NPI 1174542906
AR
-
- Specialist
- Little Rock, AR
- NPI 1831137934
-
- Rural Health Clinic/Center
- Crossett, AR
- NPI 1225799646
-
- Obstetrics & Gynecology Physician
- Pine Bluff, AR
- NPI 1669851929
-
- Rural Health Clinic/Center
- Monticello, AR
- NPI 1821749946
-
- Clinic/Center
- Pine Bluff, AR
- NPI 1841235868
-
- Orthopaedic Surgery Physician
- Pine Bluff, AR
- NPI 1275841306
-
- Clinic/Center
- White Hall, AR
- NPI 1306097365
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pine Bluff, AR
- NPI 1710931985
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1295799443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 W 40TH AVE",
"address_2": "SUITE 301",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716036319",
"telephone_number": "870-541-4285",
"fax_number": "870-541-4297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 W 40TH AVE",
"address_2": "SUITE 301",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716036319",
"telephone_number": "870-541-4285",
"fax_number": "870-541-4297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALSHAMI",
"first_name": "AYMAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "E-1795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5K975",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135341001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.