Individual provider Active NPI

Fareeda Ann Al Refai, M.D.

  • Diagnostic Radiology Physician
  • Fort Smith, AR
National Provider Identifier
1497735047
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C8342 Issued in AR
Practice address
1001 Towson Ave
Fort Smith, AR 72901-4921
Phone
(479) 441-4000
NPI assigned
Jan 19, 2006
Last updated
May 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X C8342 AR Primary

Addresses

Primary practice location

1001 Towson Ave
Fort Smith, AR 72901-4921

Mailing address

PO Box 1983
Fort Smith, AR 72902-1983
Phone (479) 452-9416

Other identifiers 2

IdentifierTypeStateIssuer
100224250AMedicaidOK
123205001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050512000457 AR Practitioner - Diagnostic Radiology 5193766889 Reassigns benefits to 4 organizations
I20240423003324 VA Practitioner - Diagnostic Radiology 5193766889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Services P aGroup PAC ID 8527065804, 8 clinicians
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians
Radiology Associates of Roanoke, PCGroup PAC ID 2365407574, 6 clinicians

Practice addresses (Care Compare)

1001 Towson Ave
Fort Smith, AR 72901-4921
Phone 4794529416101

11001 Executive Ctr Dr
Suite 200 C
Little Rock, AR 72211-4348
Phone (501) 812-7587

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4052

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.99 of 100Reported as group
Quality
84.79
Improvement activities
40
Cost
66.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C8342ARMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Services P a Diagnostic Radiology CurrentSince Feb 1, 1999 Accepting new patients
Clear View Radiology, PLLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Radiologists of Russellville PA Diagnostic Radiology CurrentSince Apr 5, 2024 Accepting new patients
Arkansas Health Group Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Arkansas Health Group CurrentSince Jan 1, 2026 Accepting new patients
Radiology Associates of Roanoke P C Diagnostic Radiology CurrentSince Apr 15, 2024 Accepting new patients
South Central Oklahoma Radiology PLLC Diagnostic Radiology PastSince Aug 1, 2021 Accepting new patients
R and a Radiology LLP Diagnostic Radiology Past Accepting new patients

Locations

1100 E Poplar St
Clarksville, AR 72830
Phone (479) 754-5393

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

1500 Dodson Ave
Ste 140
Fort Smith, AR 72901
Phone (479) 709-1913

1500 Dodson Ave
Ste 230
Fort Smith, AR 72901
Phone (479) 709-7490

310 Lexington Ave
Fort Smith, AR 72901
Phone (479) 494-0500

5707 Jenny Lind Rd
Fort Smith, AR 72908
Phone (479) 242-2561

708 Lexington Ave
Fort Smith, AR 72901
Phone (479) 226-3132

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

11001 Executive Center Dr
Ste 200C
Little Rock, AR 72211
Phone (501) 812-7587

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

1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178

3301 W Main Pl
Russellville, AR 72801
Phone (855) 498-6768

209 Pointer Trl W
Van Buren, AR 72956
Phone (479) 471-4290

710 S 13th St
Blackwell, OK 74631
Phone (580) 363-2311

501 N 14th St
Perry, OK 73077
Phone (580) 336-3541

105 Wall St
Poteau, OK 74953
Phone (918) 635-3100

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

1 Arh Ln
Low Moor, VA 24457
Phone (540) 345-2593

4330 Brambleton Ave
Roanoke, VA 24018
Phone (540) 283-3700

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Organizations & group practices 8

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 6

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1497735047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1983",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729021983",
            "telephone_number": "479-452-9416",
            "fax_number": "479-484-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TOWSON AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014921",
            "telephone_number": "479-441-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL REFAI",
        "first_name": "FAREEDA",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "C8342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100224250A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123205001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.