Individual provider Active NPI

Bashir Shihabuddin, MD

  • Neurology Physician
  • Little Rock, AR
National Provider Identifier
1316037898
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
E-1131 Issued in AR
Practice address
4300 W 7TH St
Little Rock, AR 72205-5446
Phone
(501) 257-1000
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Epilepsy Physician 2084E0001X E-1131 AR
Neurology Physician 2084N0400X ME170677 FL
Neurology Physician 2084N0400X MD222686 OR
Neurology Physician 2084N0400X MD61607529 WA
Clinical Neurophysiology Physician 2084N0600X E-1131 AR
Neurology Physician 2084N0400X E-1131 AR Primary

Addresses

Primary practice location

4300 W 7TH St
Little Rock, AR 72205-5446

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 1

11215 Metro Pkwy Ste 100
Fort Myers, FL 33966-1206
Phone (239) 208-2212

Other practice location 2

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-2200

Other identifiers 2

IdentifierTypeStateIssuer
138911001MedicaidAR
130020948OtherARRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, NH, FL, ND, WA, OR, GA, IA, KY, NY10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20040610000698 AR Practitioner - Neurology 3779566724 Reassigns benefits to 7 organizations
I20241120002651 NH Practitioner - Neurology 3779566724 Reassigns benefits to 2 organizations
I20241203001608 FL Practitioner - Neurology 3779566724 Reassigns benefits to 1 organization
I20250415003559 ND Practitioner - Neurology 3779566724 Reassigns benefits to 1 organization
I20250418001709 WA Practitioner - Neurology 3779566724 Reassigns benefits to 1 organization
I20250418001985 OR Practitioner - Neurology 3779566724 Reassigns benefits to 2 organizations
I20250604000936 GA Practitioner - Neurology 3779566724 Reassigns benefits to 1 organization
I20250626003701 IA Practitioner - Neurology 3779566724
I20250630000828 KY Practitioner - Neurology 3779566724 Reassigns benefits to 1 organization
I20260507003628 NY Practitioner - Neurology 3779566724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians
Virtual Neurology Texas PLLCGroup PAC ID 3779910047, 151 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians

Practice addresses (Care Compare)

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000

1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600

2122 Westport Loop
Little Rock, AR 72212-3215
Phone (239) 208-2212

350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Phone (470) 788-1010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME170677FLMDNeurology Physician
MD222686ORMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Salmon Creek Hospital CurrentSince Mar 12, 2025 Accepting new patients
Arkansas Childrens Hospital CurrentSince Jun 11, 2004 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 1, 2025 Accepting new patients
Virtual Neurology Texas PLLC Neurology CurrentSince Dec 24, 2024 Accepting new patients
Altru Health System CurrentSince Feb 27, 2025 Accepting new patients
Silverton Health Current Accepting new patients
Legacy Clinics LLC CurrentSince Mar 12, 2025 Accepting new patients
Altru Health System CurrentSince Feb 27, 2025 Accepting new patients
Summit Healthcare Association Neurology CurrentSince Feb 1, 2025 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Jun 1, 2025 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Sep 1, 1999 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Oct 15, 2013 Accepting new patients
Nchmd, Inc CurrentSince Nov 1, 2024 Accepting new patients
Altru Health System Current Accepting new patients
Concord Hospital, Inc. CurrentSince Jan 17, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 1, 2025 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Nov 13, 2024 Accepting new patients
Nchmd Inc Current Accepting new patients
Concord Hospital, Inc. CurrentSince Jan 17, 2025 Accepting new patients
Virtual Neurology, LLC Neurology CurrentSince Sep 14, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Mar 12, 2025 Accepting new patients
Telespecialists North Carolina Neurology Services PLLC Neurology CurrentSince Aug 5, 2025 Accepting new patients
Silverton Health CurrentSince Apr 10, 2025 Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Nov 1, 2024 Accepting new patients
Silverton Health CurrentSince Apr 10, 2025 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Sep 1, 1999 Accepting new patients
Baptist Health Medical Group Inc Neurology Current Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Nov 13, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Mar 12, 2025 Accepting new patients
Arkansas Children'S Hospital CurrentSince Jun 11, 2004 Accepting new patients

Locations (25 of 30)

1 Childrens Way
Ste 653
Little Rock, AR 72202

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

4300 W 7th St
Little Rock, AR 72205
Phone (501) 257-5772

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

250 Pleasant St
Ste 1
Concord, NH 03301

248 Pleasant St
Ste 206
Concord, NH 03301
Phone (603) 230-7266

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 31

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 31

Hospital & facility affiliations 7

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1316037898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W 7TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055446",
            "telephone_number": "501-257-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11215 Metro Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339661206",
            "country_code": "US",
            "telephone_number": "239-208-2212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 N Gantenbein Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271623",
            "country_code": "US",
            "telephone_number": "503-413-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIHABUDDIN",
        "first_name": "BASHIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "AR",
            "license": "E-1131",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME170677",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD222686",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD61607529",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "AR",
            "license": "E-1131",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AR",
            "license": "E-1131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138911001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130020948",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.