Individual provider Active NPI

Ali Madeeh Hashmi, MD

  • Psychiatry Physician
  • Paragould, AR
National Provider Identifier
1720033350
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E1716 Issued in AR
Practice address
1905 Chateau Blvd Ste B
Paragould, AR 72450-6279
Phone
(870) 236-2265
NPI assigned
May 23, 2006
Last updated
Jun 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X E1716 AR Primary

Addresses

Primary practice location

1905 Chateau Blvd Ste B
Paragould, AR 72450-6279

Mailing address

1816 W Matthews Ave
Jonesboro, AR 72401-3344
Phone (870) 972-5651

Other identifiers 1

IdentifierTypeStateIssuer
128707526MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TN, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040119000204 AR Practitioner - PsychiatryPractitioner - Neurology 0547161929 Reassigns benefits to 3 organizations
Practice locations: Jonesboro, AR
I20200409003743 TN Practitioner - Psychiatry 0547161929 Reassigns benefits to 2 organizations
I20240122004486 TX Practitioner - Psychiatry 0547161929

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E1716ARMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Arkansas Community Mental Health Center Inc CurrentSince Oct 12, 1998 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Blue Ridge Medical Management Corporation Psychiatry CurrentSince Feb 15, 2020 Accepting new patients
Northeast Arkansas Community Mental Health Center Inc Current Accepting new patients
St Bernards Hospital Inc. CurrentSince Oct 1, 2006 Accepting new patients
Northeast Arkansas Community Mental Health Center Inc CurrentSince Oct 12, 1998 Accepting new patients
St. Bernards Hospital, Inc CurrentSince Oct 1, 2006 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Feb 15, 2020 Accepting new patients
Karen Hall, LCSW, PA CurrentSince Aug 22, 2019 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Feb 15, 2020 Accepting new patients
St. Bernards Behavioral Health Past Accepting new patients
TDS Psychiatric Services L.L.C. PastSince Sep 12, 2018 Accepting new patients

Locations

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

225 E Jackson Ave
Jonesboro, AR 72401
Phone (870) 207-1630

2707 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-4000

2712 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 268-4107

1905 Chateau Blvd
Paragould, AR 72450
Phone (870) 236-2265

1905 Chateau Blvd
Ste B
Paragould, AR 72450
Phone (870) 236-2265

2801 Medical Center Dr
Pocahontas, AR 72455
Phone (870) 892-6000

905 N 7th St
West Memphis, AR 72301
Phone (870) 735-5118

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

Interoperability endpoints

  • Direct secure messaging: alihashmi@tdh.allscriptsdirect.net

Organizations & group practices 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1720033350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 W MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013344",
            "telephone_number": "870-972-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CHATEAU BLVD STE B",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724506279",
            "telephone_number": "870-236-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASHMI",
        "first_name": "ALI",
        "middle_name": "MADEEH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E1716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128707526",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.