Individual provider Active NPI

Abrar Khan, MD

  • Emergency Medicine Physician
  • Pine Bluff, AR
National Provider Identifier
1578976908
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E-9387 Issued in AR
Practice address
4010 S Mulberry St
Pine Bluff, AR 71603-7000
Phone
(870) 541-6000
NPI assigned
Jun 3, 2014
Last updated
Sep 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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
Emergency Medicine Physician 207P00000X E-9387 AR Primary

Addresses

Primary practice location

4010 S Mulberry St
Pine Bluff, AR 71603-7000

Mailing address

4010 S Mulberry St
Pine Bluff, AR 71603-7000
Phone (870) 541-6000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151106001334 AR Practitioner - Family PracticePractitioner - Emergency Medicine 9739499534 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

1 Medical Park Dr
Benton, AR 72015-3353
Phone (501) 776-6025

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HCC of El Dorado LLC CurrentSince May 17, 2022 Accepting new patients
Shiloh Emergency Group PLLC Emergency Medicine CurrentSince Oct 3, 2021 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Oct 7, 2015 Accepting new patients
South Arkansas Emergency Physicians, LLP Emergency Medicine CurrentSince Jul 19, 2017 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc Emergency Medicine CurrentSince Sep 24, 2015 Accepting new patients
Hospital Care Consultants of Fordyce LLC CurrentSince Oct 1, 2016 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Mercy Northwest Arkansas Ambulatory Services LLC CurrentSince Dec 18, 2021 Accepting new patients
South Arkansas Emergency Physicians, LLP Emergency Medicine CurrentSince Jul 19, 2017 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Dec 18, 2021 Accepting new patients
Ess of Fordyce LLC Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Ess of El Dorado, LLC Emergency Medicine CurrentSince May 17, 2022 Accepting new patients
Ess Hospitalist LLC CurrentSince Sep 24, 2015 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Dec 18, 2021 Accepting new patients
Southeast Arkansas Hospitalists, LLP CurrentSince Jul 23, 2017 Accepting new patients
South Arkansas Emergency Physicians LLP Emergency Medicine Current Accepting new patients
Mercy Health Northwest Arkansas Communities Past Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

24 Norris St
Eureka Springs, AR 72632
Phone (479) 253-7400

201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

1910 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 321-1000

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

4 Hospital Dr
Morrilton, AR 72110
Phone (501) 977-2300

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

2012 S Promenade Blvd
Rogers, AR 72758
Phone (479) 616-1485

2215 Wildwood Ave
Sherwood, AR 72120
Phone (501) 522-7100

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1578976908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 S MULBERRY ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037000",
            "telephone_number": "870-541-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 S MULBERRY ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037000",
            "telephone_number": "870-541-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ABRAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-9387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.