Organization Active NPI

Noydeen Medical Group - Little Rock

  • Internal Medicine Physician
  • Little Rock, AR
National Provider Identifier
1376260968
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NOYDEEN MEDICAL GROUP - LITTLE ROCK
Practice address
1100 N University Ave Ste 200
Little Rock, AR 72207-6360
Phone
(501) 209-4040
NPI assigned
Oct 24, 2022
Organization subpart
Yes
Parent organization
NOYDEEN SISTERS MEDICAL GROUP & CLINICS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Ahmed Ali, MDNPI 1841425253
Title
Owner
Phone
(917) 370-1992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1100 N University Ave Ste 200
Little Rock, AR 72207-6360

Mailing address

1100 N University Ave Ste 200
Little Rock, AR 72207-6360
Phone (501) 209-4040

National Provider Directory

National Provider Directory
Tax ID family
Noydeen Medical Group- Russellville4 organizations share this tax ID, including this one
Part of
Noydeen Medical Group- Russellville

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1376260968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N UNIVERSITY AVE STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076360",
            "telephone_number": "501-209-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N UNIVERSITY AVE STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076360",
            "telephone_number": "501-209-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOYDEEN MEDICAL GROUP - LITTLE ROCK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOYDEEN SISTERS MEDICAL GROUP & CLINICS, INC",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-370-1992",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.