Active NPI
Maher Mohammad K. Abulfaraj, MD
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- License
- E-14337
- Practice address
- 1 Childrens Way # 512-13
Little Rock, AR 72202-3500 - Phone
- (501) 364-3082
- Fax
- (501) 364-3084
- NPI assigned
- Jun 25, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1346230968
AR, Pediatrics
-
- Children's Hospital
- Little Rock, AR
- NPI 1477561983
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
- Developmental - Behavioral Pediatrics Physician
- Lowell, AR
- NPI 1407021280
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 |
|---|---|---|---|---|
| I20210802003133 | AR | Practitioner - Pediatric Medicine | 7416224811 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD470309 | PA | MD | Pediatric Emergency Medicine (Emergency Medicine) Physician |
| E-14337 | AR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Pediatrics | Current | Accepting new patients |
| Arkansas Childrens Hospital | Pediatrics | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Arkansas Children'S Hospital | Current | Accepting new patients |
Locations
1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
1 Childrens Way
#51213
Little Rock, AR 72202
Phone (501) 364-3082
1 Childrens Way
Ste 653
Little Rock, AR 72202
Interoperability endpoints
- mabulfaraj407937@direct.hopkinsmedicine.org
Specialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | MD470309 | PA | |
| Pediatrics Physician | 208000000X | E-14337 | AR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | E-14337 | AR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1 Childrens Way # 512-13
Little Rock, AR 72202-3500
Mailing address
PO Box 251418
Little Rock, AR 72225-1418
Phone (501) 364-1100
Other practice location 1
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone (215) 590-3948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 25, 2021.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1336554641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251418",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722251418",
"telephone_number": "501-364-1100",
"fax_number": "501-364-4082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS WAY # 512-13",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722023500",
"telephone_number": "501-364-3082",
"fax_number": "501-364-3084"
}
],
"practiceLocations": [
{
"address_1": "3401 Civic Center Blvd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044319",
"country_code": "US",
"telephone_number": "215-590-3948",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABULFARAJ",
"first_name": "MAHER",
"middle_name": "MOHAMMAD K.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-25",
"last_updated": "2021-08-25",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "PA",
"license": "MD470309",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "E-14337",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "AR",
"license": "E-14337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.