Jade Robert Alfasi, MD

Key facts

NPI

1457046302

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

E-19058 (AR)

Practice address

1125 N College Ave
Fayetteville, AR 72703-1908

Phone

(479) 684-5170

Fax

(479) 444-7820

NPI assigned

Apr 6, 2023

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• Arkansas Emergency Staffing Solutions, Inc Emergency Medicine Physician · Hope, AR · NPI 1275774630
  Medicare reassignment NPD AR · EMERGENCY MEDICINE
• Ess of McGehee LLC Emergency Medicine Physician · MC Gehee, AR · NPI 1639822653
  Medicare reassignment NPD AR · EMERGENCY MEDICINE
• Mercy Clinic Fort Smith Communities Multi-Specialty Clinic/Center · Fort Smith, AR · NPI 1902073620
  Medicare reassignment NPD AR
• Mercy Hospital Booneville Certified Registered Nurse Anesthetist · Booneville, AR · NPI 1083004733
  Medicare reassignment NPD AR
• Mercy Hospital Ozark Emergency Care Clinic/Center · Ozark, AR · NPI 1881642767
  Medicare reassignment NPD AR
• Mercy Hospital Paris Emergency Care Clinic/Center · Paris, AR · NPI 1518915321
  Medicare reassignment NPD AR
• Mercy Hospital Waldron Emergency Care Clinic/Center · Waldron, AR · NPI 1730137134
  Medicare reassignment NPD AR
• Monticello Ess LLC Emergency Medicine Physician · Monticello, AR · NPI 1184010753
  Medicare reassignment NPD AR · EMERGENCY MEDICINE
• Mercy Clinic Fort Smith Communities Endocrinology, Diabetes & Metabolism Physician · Fort Smith, AR · NPI 1790258002
  NPD
• Mercy Hospital Booneville Critical Access Hospital · Booneville, AR · NPI 1992133714
  NPD
• Mercy Hospital Ozark Critical Access Hospital · Ozark, AR · NPI 1275504128
  NPD
• Mercy Hospital Paris Critical Access Hospital · Paris, AR · NPI 1760453633
  NPD
• Mercy Hospital Waldron Rural Health Clinic/Center · Waldron, AR · NPI 1043268451
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 14, 2025.

{
    "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": []
}

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All providers in Fayetteville, AR · Family Medicine Physician in Arkansas