NPIMap

Individual provider Active NPI

Asif Masood, M.D.

  • Hematology & Oncology Physician
  • Pine Bluff, AR
National Provider Identifier
1760448013
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
E4024 Issued in AR
Practice address
1609 W 40TH Ave Ste 205
Pine Bluff, AR 71603-6367
Phone
(870) 534-1188
Fax
(870) 534-0188
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X E4024 AR Primary
Specialist 174400000X E4024 AR

Addresses

Primary practice location

1609 W 40TH Ave Ste 205
Pine Bluff, AR 71603-6367

Mailing address

PO Box 2650
Pine Bluff, AR 71613-2650
Phone (870) 534-1188

Other identifiers 1

IdentifierTypeStateIssuer
154122001MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address masooda@ohit.sharear.net

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
I20040616001177 AR Practitioner - Hematology/OncologyPractitioner - Hematology 3577547553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Hematology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jefferson Hospital Association, Inc 80 clinicians

Practice addresses (Care Compare)

1609 W 40TH Ave
Pine Bluff, AR 71603-6367

Hospital & facility affiliations

  • Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071
  • CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007
  • University of Arkansas Medical Sciences Hospital, Little Rock, AR, CCN 040016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E4024ARMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Hospital Association, Inc CurrentSince Feb 1, 2020 Accepting new patients
Jefferson Hospital Association, Inc Hematology & Oncology Current Accepting new patients
Jefferson Hospital Association Inc CurrentSince Feb 1, 2020 Accepting new patients
Drew Professional Services Past Accepting new patients

Locations

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

1609 W 40th Ave
Ste 403
Pine Bluff, AR 71603
Phone (870) 534-4188

4310 S Mulberry St
Pine Bluff, AR 71603
Phone (870) 534-1188

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

1609 W 40th Ave
Ste 205
Pine Bluff, AR 71603
Phone (870) 534-1188

7200 S Hazel St
Pine Bluff, AR 71603
Phone (870) 534-2900

Interoperability endpoints

  • Direct secure messaging: masooda@ohit.sharear.net

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1760448013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2650",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716132650",
            "telephone_number": "870-534-1188",
            "fax_number": "870-534-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 W 40TH AVE STE 205",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036367",
            "telephone_number": "870-534-1188",
            "fax_number": "870-534-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASOOD",
        "first_name": "ASIF",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AR",
            "license": "E4024",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "E4024",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154122001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "masooda@ohit.sharear.net",
            "affiliation": "N",
            "address_1": "4310 S Mulberry St",
            "city": "Pine Bluff",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716037030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.