Individual provider Active NPI

Jade Robert Alfasi, MD

  • Family Medicine Physician
  • Fayetteville, AR
National Provider Identifier
1457046302
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-19058 Issued in AR
Practice address
1125 N College Ave
Fayetteville, AR 72703-1908
Phone
(479) 684-5170
Fax
(479) 444-7820
NPI assigned
Apr 6, 2023
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-19058 AR
Family Medicine Physician 207Q00000X E-19058 AR Primary

Addresses

Primary practice location

1125 N College Ave
Fayetteville, AR 72703-1908

Mailing address

1125 N College Ave
Fayetteville, AR 72703-1908
Phone (479) 684-5170

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
I20250728001917 AR Practitioner - Emergency Medicine 8224545074 Reassigns benefits to 8 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Waldron CurrentSince Sep 1, 2025 Accepting new patients
Mercy Hospital Booneville CurrentSince Sep 1, 2025 Accepting new patients
Monticello Ess LLC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Mercy Hospital Ozark CurrentSince Sep 1, 2025 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Mercy Hospital Paris CurrentSince Sep 1, 2025 Accepting new patients
Ess of McGehee LLC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Mercy Hospital Waldron CurrentSince Sep 1, 2025 Accepting new patients
Mercy Hospital Paris CurrentSince Sep 1, 2025 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Sep 1, 2025 Accepting new patients
Mercy Hospital Ozark CurrentSince Sep 1, 2025 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Sep 1, 2025 Accepting new patients
Mercy Hospital Booneville CurrentSince Sep 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

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

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

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: jadealfasi@wrms.allscriptsdirect.net
  • Direct secure messaging: jalfasi46683@washingtonregional.direct-ci.com

Organizations & group practices 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1457046302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N COLLEGE AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031908",
            "telephone_number": "479-684-5170",
            "fax_number": "479-444-7820"
        },
        {
            "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": "479-684-5170",
            "fax_number": "479-444-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFASI",
        "first_name": "JADE",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-06",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-19058",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-19058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.