Abdel Rahman A Al Emam, MD
Individual provider Active NPI Interventional Cardiology Physician · Little Rock, AR
NPI 1679875017 · NPPES record last updated Jul 12, 2018
Key facts
- NPI
- 1679875017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- E-11545 (AR)
- Practice address
- 10100 Kanis Rd
Little Rock, AR 72205 - Phone
- (501) 255-6000
- Fax
- (501) 255-6400
- NPI assigned
- Nov 17, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Vincent Infirmary Medical Center
Practice addresses (Care Compare)
10100 Kanis Rd
Little Rock, AR 72205-6202
Phone (501) 255-6000
Hospital & facility affiliations
- CHI-St Vincent Infirmary
- Baptist Health Medical Center Heber Springs
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 68 |
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180730002842 | AR | Practitioner - Interventional Cardiology |
5799907234 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-11545 | AR | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Infirmary Medical Center | Current | Accepting new patients | |
| Conway Regional Medical Center Inc | Current |
Accepting new patients | |
| Heart Clinic Arkansas | Current | Accepting new patients | |
| Conway Regional Medical Center Inc | Family Medicine | Current |
Accepting new patients |
| St Vincent Infirmary Medical Center | Current |
Accepting new patients | |
| St Vincent Infirmary Medical Center | Current |
Accepting new patients | |
| St. Vincent Infirmary Medical Center | Current | 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
- aalemam455683@direct.stlukeshealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | E-11545 | AR | Yes |
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
Other providers in Little Rock, AR
- Eugene C Akins Jr.
- Rumeka Janae Akins
- Timothy Akins
- Victoria Akins
- Nuri Ilker Akkus
- Reem Al Farah
- Osama Nweiran Al Khalaila
- Abdulrahman Ahmed Yaseen Al-Bazaz
- Malek Al-Hawwas
- Mohannad Al-Hindi
All providers in Little Rock, AR · Interventional Cardiology Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.