Raha Amini

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E-18568 Issued in AR

Practice address

470 Fairfield Dr
Madison, MS 39110-7543

Phone

(601) 497-4371

NPI assigned

Apr 14, 2020

Last updated

Nov 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Newgen of Arkansas LLCGroup PAC ID 3779076591, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Magnolia Regional Medical Center Hospital, Magnolia, AR, CCN 040067
• Johnson Regional Medical Center Hospital, Clarksville, AR, CCN 040002
• Magnolia Regional Medical Center Hospital, Magnolia, AR, CCN 041336
• Baptist Health - Fort Smith Hospital, Fort Smith, AR, CCN 040055

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: raha.amini.1@16721.direct.athenahealth.com

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.

• Newgen of Arkansas LLC

  • Emergency Medicine Physician
  • Clarksville, AR
  • NPI 1982578506
  Medicare reassignment Care Compare group NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  AR

  Medicare reassignment Care Compare group NPD
• Arkansas Emergency Staffing Solutions, Inc

  • Emergency Medicine Physician
  • Hope, AR
  • NPI 1275774630
  Medicare reassignment NPD
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441

  AR

  Medicare reassignment NPD
• Emergency Staffing Solutions Region III

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1689967895

  AR

  Medicare reassignment NPD
• Ess of Fordyce LLC

  • Emergency Medicine Physician
  • Fordyce, AR
  • NPI 1821547977
  Medicare reassignment NPD
• Ess of McGehee LLC

  • Emergency Medicine Physician
  • McGehee, AR
  • NPI 1639822653
  Medicare reassignment NPD
• HCC of Magnolia LLC

  • Hospitalist Physician
  • Magnolia, AR
  • NPI 1831865872
  Medicare reassignment NPD
• Healthstar Physicians of Hot Springs, PLLC

  dba Hamilton West Family Medicine

  • Family Medicine Physician
  • Hot Springs, AR
  • NPI 1821176934
  Medicare reassignment NPD
• Hospital Care Consultants of Fordyce LLC

  • Hospitalist Physician
  • Fordyce, AR
  • NPI 1316497464
  Medicare reassignment NPD
• Mercy Clinic Fort Smith Communities

  • Multi-Specialty Clinic/Center
  • Fort Smith, AR
  • NPI 1902073620
  Medicare reassignment NPD
• Mercy Hospital Booneville

  • Certified Registered Nurse Anesthetist
  • Booneville, AR
  • NPI 1083004733
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health Regional Hospitals

  dba Baptist Health - Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1710463146
  Care Compare affiliation
• Johnson Regional Medical Center

  • General Acute Care Hospital
  • Clarksville, AR
  • NPI 1134116049
  Care Compare affiliation
• Magnolia Regional Health System Inc

  dba Magnolia Regional Medical Center

  • Critical Access Hospital
  • Magnolia, AR
  • NPI 1700407541
  Care Compare affiliation

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1730708298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 FAIRFIELD DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107543",
            "telephone_number": "601-497-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 FAIRFIELD DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107543",
            "telephone_number": "601-497-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMINI",
        "first_name": "RAHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-18568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Katherine Alderman, OTD, OTR/L
• Ghaith Aleithawe
• Ashley Alexander
• Kimberly Allen, PHARMD
• Allpharm Inc. (Select Medical)
• Erica Leonna Anderson, CPNP-PC
• Lisa D Anderson, M.D.
• Kelly Antici, PHARMD
• Doug Archer, HIS
• Armstrong & Dyre Dental, P.C.

• Family Medicine Physician in Madison, MS
• Providers in Madison, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.

Verify at the official NPI Registry.