NPIMap

Individual provider Active NPI

Mohamed Tolba, M.D.

  • Interventional Pain Medicine Physician
  • Conway, AR
National Provider Identifier
1356635486
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
E8922 Issued in AR
Practice address
655 Dave Ward Dr Ste 103
Conway, AR 72034-7145
Phone
(501) 209-4040
Fax
(501) 205-1776
NPI assigned
Jun 6, 2011
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X E8922 AR Primary

Addresses

Primary practice location

655 Dave Ward Dr Ste 103
Conway, AR 72034-7145

Mailing address

655 Dave Ward Dr Ste 103
Conway, AR 72034-7145
Phone (501) 209-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150727002514 AR Practitioner - Anesthesiology 9032423678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Q Pain and Spine Clinic PAGroup PAC ID 1052450665, 14 clinicians

Practice addresses (Care Compare)

5700 W Markham St
Little Rock, AR 72205-3328
Phone (501) 227-0184

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.45 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E8922ARMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Q Pain & Spine Clinic, PA Multi-Specialty CurrentSince Jun 8, 2015 Accepting new patients
Dr Q Pain & Spine Clinic PA Multi-Specialty CurrentSince Jun 8, 2015 Accepting new patients
Central Arkansas Surgery Center, LLC Interventional Pain Medicine Past Accepting new patients

Locations

1080 Pats Ln
Conway, AR 72032
Phone (501) 450-7900

100 N Fillmore St
Little Rock, AR 72205
Phone (870) 226-5875

5700 W Markham St
Little Rock, AR 72205
Phone (501) 663-1211

3524 E Race Ave
Searcy, AR 72143

Organizations & group practices 4

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.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1356635486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 DAVE WARD DR STE 103",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347145",
            "telephone_number": "501-209-4040",
            "fax_number": "501-205-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 DAVE WARD DR STE 103",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347145",
            "telephone_number": "501-209-4040",
            "fax_number": "501-205-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLBA",
        "first_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AR",
            "license": "E8922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.