Individual provider Active NPI

Ibrahim Jamal Samarra'E

  • Physical Medicine & Rehabilitation Physician
  • Little Rock, AR
National Provider Identifier
1548840291
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
348046 Issued in LA
Practice address
4301 W Markham St
Little Rock, AR 72205-7101
Phone
(501) 526-7732
NPI assigned
Apr 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X 348046 LA Primary

Addresses

Primary practice location

4301 W Markham St
Little Rock, AR 72205-7101

Mailing address

3530 Nashville Ave
New Orleans, LA 70125-4340
Phone (601) 415-6376

Other practice location 1

2614 Jefferson Hwy
Jefferson, LA 70121-3828
Phone (717) 972-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20260528002458 OK Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 4385045269

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Louisiana State University School of Medicine in New Orleans, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Pain Management PLLCGroup PAC ID 8123117066, 9 clinicians

Practice addresses (Care Compare)

4409 N Kickapoo Ave
Suite 129
Shawnee, OK 74804-1225
Phone (405) 242-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
348046LAMDPhysical Medicine & Rehabilitation Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1548840291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 NASHVILLE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701254340",
            "telephone_number": "601-415-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-526-7732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2614 Jefferson Hwy",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "LA",
            "postal_code": "701213828",
            "country_code": "US",
            "telephone_number": "717-972-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMARRA'E",
        "first_name": "IBRAHIM",
        "middle_name": "JAMAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-08",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "348046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.