Active NPI
Omar Samih Qaqish, MD
- Cardiovascular Disease Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- E19484
- Practice address
- 4300 W 7TH St
Little Rock, AR 72205-5446 - Phone
- (501) 707-4522
- NPI assigned
- Mar 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2186120341 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | E19484 | AR | Primary |
| Internal Medicine Physician | 207R00000X | 4301504324 | MI |
Addresses
Primary practice location
4300 W 7TH St
Little Rock, AR 72205-5446
Mailing address
310 Kanis Ridge Dr
Little Rock, AR 72223-4965
Phone (312) 315-7753
Other practice location 1
6245 Inkster Rd
Garden City, MI 48135-4001
Phone (734) 458-3405
Other practice location 2
4301 W Markham St # 532
Little Rock, AR 72205-7101
Phone (501) 686-8000
Other practice location 3
201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7425
Other practice location 4
12000 E 12 Mile Rd
Warren, MI 48093-3570
Phone (248) 967-7795
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4301 W Markam St
Little Rock, AR 72205-7101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2186120341 | MI | MD | Internal Medicine Physician |
| E19484 | AR | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Macomb-Oakland Hospital | Past | Accepting new patients |
Interoperability endpoints
- oqaqish841962@direct.hfhs.org
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
-
- Social Worker
- Warren, MI
- NPI 1548609761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1578067369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 KANIS RIDGE DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722234965",
"telephone_number": "312-315-7753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 W 7TH ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055446",
"telephone_number": "501-707-4522"
}
],
"practiceLocations": [
{
"address_1": "6245 Inkster Rd",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "MI",
"postal_code": "481354001",
"country_code": "US",
"telephone_number": "734-458-3405",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4301 W Markham St # 532",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-686-8000",
"fax_number": "501-526-5148",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 Lyons Ave",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071122027",
"country_code": "US",
"telephone_number": "973-926-7425",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12000 E 12 Mile Rd",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "MI",
"postal_code": "480933570",
"country_code": "US",
"telephone_number": "248-967-7795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QAQISH",
"first_name": "OMAR",
"middle_name": "SAMIH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-19",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "2186120341",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AR",
"license": "E19484",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301504324",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.