Individual provider Active NPI

Ayman Alshami, MD

  • Specialist
  • Pine Bluff, AR
National Provider Identifier
1295799443
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E-1795 Issued in AR
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

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5K975OtherARBCBS
135341001MedicaidAR

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
I20031121000234 AR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4385548361 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Hospital Association, Inc 80 clinicians
Saline Clinics LLC 26 clinicians

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 Hospital, Benton, AR, CCN 040084
  • Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heartcare Clinic Specialist Current Accepting new patients
Jefferson Hospital Association, Inc CurrentSince Dec 3, 1998 Accepting new patients
Jefferson Hospital Association Inc CurrentSince Dec 3, 1998 Accepting new patients
Saline Clinics LLC CurrentSince Jan 1, 2026 Accepting new patients
Jefferson Hospital Association, Inc CurrentSince May 21, 2007 Accepting new patients
Jefferson Hospital Assn, Inc. CurrentSince Dec 11, 2021 Accepting new patients
Jefferson Heart, P.a. Specialist CurrentSince Sep 1, 2025 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

  • Direct secure messaging: ayman.alshami.1@16686.direct.athenahealth.com
  • Direct secure messaging: aymanalshami@jrmc.allscriptsdirect.net
  • FHIR API: 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.

View all 14

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.