Individual provider Active NPI

Amelia Ramzan, MD

  • Family Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1326667718
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E15285 Issued in AR
Practice address
612 S 12TH St
Fort Smith, AR 72901-4702
Phone
(479) 785-2431
NPI assigned
Apr 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E15285 AR Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

612 S 12TH St
Fort Smith, AR 72901-4702

Mailing address

612 S 12TH St
Fort Smith, AR 72901-4702
Phone (479) 785-2431

Other names 1

  • Amelia Hu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220622003412 AR Practitioner - Family Practice 5799108114 Reassigns benefits to 14 organizations
I20230821004121 NY Practitioner - Family Practice 5799108114

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

1001 Towson Ave
Fort Smith, AR 72901-4921
Phone (479) 441-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E15285ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Emergency Staffing Solutions, Inc CurrentSince Jul 1, 2022 Accepting new patients
Mercy Hospital Paris CurrentSince Oct 1, 2025 Accepting new patients
Mercy Hospital Ozark CurrentSince Oct 1, 2025 Accepting new patients
Mercy Hospital Paris Current Accepting new patients
HCC of Warren Hospitalist LLC CurrentSince Jul 1, 2022 Accepting new patients
Hospital Care Consultants of Fordyce LLC CurrentSince Jul 1, 2022 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince Jul 1, 2025 Accepting new patients
Mercy Hospital Booneville CurrentSince Oct 1, 2025 Accepting new patients
Mercy Hospital Waldron CurrentSince Oct 1, 2025 Accepting new patients
HCC of Warren LLC CurrentSince Jul 1, 2022 Accepting new patients
Ess of Fordyce LLC CurrentSince Jul 1, 2022 Accepting new patients
Mercy Hospital Waldron CurrentSince Oct 1, 2025 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Newgen of Arkansas LLC CurrentSince Dec 1, 2025 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Oct 1, 2025 Accepting new patients
Mercy Hospital Ozark CurrentSince Oct 1, 2025 Accepting new patients
Mercy Hospital Waldron CurrentSince Oct 1, 2025 Accepting new patients
Mercy Hospital Booneville CurrentSince Oct 1, 2025 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Oct 1, 2025 Accepting new patients

Locations

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

880 W Main St
Booneville, AR 72927
Phone (479) 675-2800

1100 E Poplar St
Clarksville, AR 72830
Phone (479) 754-5393

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

311 Morrow St N
Mena, AR 71953
Phone (479) 394-6100

801 W River St
Ozark, AR 72949
Phone (479) 667-4138

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

404 S Bradley St
Warren, AR 71671
Phone (870) 226-3731

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 1

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": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1326667718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S 12TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014702",
            "telephone_number": "479-785-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S 12TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014702",
            "telephone_number": "479-785-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMZAN",
        "first_name": "AMELIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E15285",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMELIA",
            "last_name": "HU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.