NPIMap

Individual provider Active NPI

Abdel Rahman A Al Emam, MD

  • Interventional Cardiology Physician
  • Little Rock, AR
National Provider Identifier
1679875017
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
E-11545 Issued in AR
Practice address
10100 Kanis Rd
Little Rock, AR 72205
Phone
(501) 255-6000
Fax
(501) 255-6400
NPI assigned
Nov 17, 2010
Last updated
Jul 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X E-11545 AR Primary

Addresses

Primary practice location

10100 Kanis Rd
Little Rock, AR 72205

Mailing address

10100 Kanis Rd
Little Rock, AR 72205-6202
Phone (501) 255-6000

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
I20180730002842 AR Practitioner - Interventional CardiologyPractitioner - Advanced Heart Failure and Transplant Cardiology 5799907234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Advanced Heart Failure and Transplant Cardiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10100 Kanis Rd
Little Rock, AR 72205-6202
Phone (501) 255-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting68
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Regional Medical Center Inc Family Medicine CurrentSince Oct 31, 2020 Accepting new patients
Heart Clinic Arkansas Current Accepting new patients
St. Vincent Infirmary Medical Center Current Accepting new patients
St. Vincent Infirmary Medical Center Current Accepting new patients
Conway Regional Medical Center Inc CurrentSince Oct 31, 2020 Accepting new patients
St Vincent Infirmary Medical Center CurrentSince Jul 23, 2018 Accepting new patients
St Vincent Infirmary Medical Center CurrentSince Jul 23, 2018 Accepting new patients
St Vincent Infirmary Medical Center Past Accepting new patients

Locations

2302 College Ave
Conway, AR 72034
Phone (501) 329-3831

10100 Kanis Rd
Little Rock, AR 72205
Phone (501) 255-6000

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

1708 N Buerkle St
Stuttgart, AR 72160
Phone (870) 659-8050

Interoperability endpoints

  • Direct secure messaging: aalemam455683@direct.stlukeshealth.org

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 3

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": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1679875017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056202",
            "telephone_number": "501-255-6000",
            "fax_number": "501-255-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-255-6000",
            "fax_number": "501-255-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL EMAM",
        "first_name": "ABDEL RAHMAN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-17",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AR",
            "license": "E-11545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.