NPIMap

Individual provider Active NPI

Noha Ibrahim Mohamed, MD

  • Rheumatology Physician
  • Conway, AR
National Provider Identifier
1447583406
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
E-8053 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
Sep 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X E-8053 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

Other practice location 1

4301 W Markham St # 552
Little Rock, AR 72205-7101
Phone (501) 688-7089

Other practice location 2

1605 W Main St
Russellville, AR 72801-2719
Phone (501) 209-4040

Other practice location 3

10319 W Markham St Ste 300
Little Rock, AR 72205-4556
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
I20130906000416 AR Practitioner - Rheumatology 5496998601 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Noydeen Sisters Medical Group and Clinics IncGroup PAC ID 7618260092, 9 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029
  • Johnson Regional Medical Center Hospital, Clarksville, AR, CCN 040002
  • Baptist Health Medical Center- Conway Hospital, Conway, AR, CCN 040154
  • Baptist Health Medical Center Heber Springs Hospital, Heber Springs, AR, CCN 041312
  • Ozark Health Hospital, Clinton, AR, CCN 041313

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-8053ARMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Oct 28, 2018 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Aug 9, 2023 Accepting new patients
Healthy Connections Incorporated Current Accepting new patients
Arkansas Children'S Hospital CurrentSince Oct 28, 2018 Accepting new patients
Healthy Connections Incorporated CurrentSince Jun 1, 2022 Accepting new patients
Arkansas Childrens Hospital CurrentSince Oct 28, 2018 Accepting new patients
Healthy Connections Inc Past Accepting new patients

Locations

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

1206 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 642-3317

208 McAuley Ct
Ste B
Hot Springs, AR 71913

3604 Central Ave
Ste D
Hot Springs National Park, AR 71913
Phone (501) 318-0646

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

1 Childrens Way
Ste 653
Little Rock, AR 72202

4301 W Markham St
#552
Little Rock, AR 72205
Phone (501) 603-1214

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

900 Martin Luther King Blvd
Malvern, AR 72104
Phone (501) 332-7525

Organizations & group practices 9

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.

Hospital & facility affiliations 10

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": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1447583406",
    "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": [
        {
            "address_1": "4301 W Markham St # 552",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-688-7089",
            "fax_number": "501-686-6001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1605 W Main St",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728012719",
            "country_code": "US",
            "telephone_number": "501-209-4040",
            "fax_number": "501-205-1776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10319 W Markham St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722054556",
            "country_code": "US",
            "telephone_number": "501-209-4040",
            "fax_number": "501-205-1776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "NOHA",
        "middle_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AR",
            "license": "E-8053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.