Individual provider Active NPI

Mohammad Arslan Khalid, MD

  • Family Medicine Physician
  • Fayetteville, AR
National Provider Identifier
1336882646
Registry record updated May 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-18269 Issued in AR
Practice address
1125 N College Ave
Fayetteville, AR 72703-1908
Phone
(479) 521-8260
Fax
(479) 444-7820
NPI assigned
Apr 14, 2022
Last updated
May 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X E-18269 AR
Family Medicine Physician 207Q00000X E-18269 AR Primary

Addresses

Primary practice location

1125 N College Ave
Fayetteville, AR 72703-1908

Mailing address

13539 Rockefeller Cir
Plainfield, IL 60544-1177
Phone (224) 616-1652

Other practice location 1

259 1st St
Mineola, NY 11501-3957
Phone (516) 663-0333

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
I20250325000293 AR Practitioner - Family Practice 2769905371 Reassigns benefits to 13 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-18269ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Waldron CurrentSince Apr 1, 2025 Accepting new patients
Mercy Hospital Booneville Current Accepting new patients
Mercy Hospital Ozark CurrentSince Apr 1, 2025 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc CurrentSince Mar 1, 2025 Accepting new patients
Hospital Care Consultants of Fordyce LLC CurrentSince Mar 1, 2025 Accepting new patients
Mercy Hospital Paris Current Accepting new patients
Ess of McGehee LLC CurrentSince Mar 28, 2025 Accepting new patients
Mercy Hospital Booneville CurrentSince Apr 1, 2025 Accepting new patients
Mercy Hospital Waldron CurrentSince Apr 1, 2025 Accepting new patients
Mercy Hospital Paris CurrentSince Apr 1, 2025 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Apr 1, 2025 Accepting new patients
Ess of Fordyce LLC CurrentSince Mar 1, 2025 Accepting new patients
Mercy Hospital Ozark Current Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Apr 1, 2025 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Mercy Hospital Booneville CurrentSince Apr 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

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

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

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

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

900 S 3rd St
McGehee, AR 71654
Phone (855) 498-6768

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

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

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

Interoperability endpoints

  • Direct secure messaging: mkhalid50232@washingtonregional.direct-ci.com

Organizations & group practices 16

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 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746921600000",
    "number": "1336882646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13539 ROCKEFELLER CIR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605441177",
            "telephone_number": "224-616-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N COLLEGE AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031908",
            "telephone_number": "479-521-8260",
            "fax_number": "479-444-7820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "259 1st St",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115013957",
            "country_code": "US",
            "telephone_number": "516-663-0333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALID",
        "first_name": "MOHAMMAD",
        "middle_name": "ARSLAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-14",
        "last_updated": "2025-05-11",
        "certification_date": "2025-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AR",
            "license": "E-18269",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-18269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.