NPIMap

Individual provider Active NPI

Nauman Yunus, M.D.

  • Internal Medicine Physician
  • Pine Bluff, AR
National Provider Identifier
1487601712
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E0891 Issued in AR
Practice address
1600 W 40TH Ave
Attn: Hospitalist Program
Pine Bluff, AR 71603-6301
Phone
(870) 541-8738
Fax
(870) 541-8761
NPI assigned
May 30, 2006
Last updated
Jan 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E0891 AR Primary

Addresses

Primary practice location

1600 W 40TH Ave
Attn: Hospitalist Program
Pine Bluff, AR 71603-6301

Mailing address

1600 W 40TH Ave
Attn: Hospitalist Program
Pine Bluff, AR 71603-6301
Phone (870) 541-8767

Other identifiers 2

IdentifierTypeStateIssuer
5K173OtherARBLUE CROSS
130203001MedicaidAR

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
I20060117000998 AR Practitioner - Internal Medicine 7911921994 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 W 40TH Ave Office
Pine Bluff, AR 71603-6301
Phone (870) 692-6627

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E0891ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Arkansas Cardiology, P.L.L.C. CurrentSince May 1, 2016 Accepting new patients
Jefferson Hospital Association Inc CurrentSince Nov 3, 1999 Accepting new patients
Nauman Yunus MD PA Internal Medicine CurrentSince Sep 26, 2016 Accepting new patients
Southeast Arkansas Hospitalists, LLP CurrentSince Nov 1, 2015 Accepting new patients

Locations

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

1600 W 40th Ave
Ofc
Pine Bluff, AR 71603
Phone (870) 692-6627

7200 S Hazel St
Pine Bluff, AR 71603
Phone (870) 534-2900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBHCBD

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 8

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1487601712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W 40TH AVE",
            "address_2": "ATTN: HOSPITALIST PROGRAM",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036301",
            "telephone_number": "870-541-8767",
            "fax_number": "870-541-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 40TH AVE",
            "address_2": "ATTN: HOSPITALIST PROGRAM",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036301",
            "telephone_number": "870-541-8738",
            "fax_number": "870-541-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNUS",
        "first_name": "NAUMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E0891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5K173",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130203001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.