Individual provider Active NPI

Mahreen Arshad, MD, MPH

  • Internal Medicine Physician
  • Little Rock, AR
National Provider Identifier
1780095323
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E-10812 Issued in AR
Practice address
300 S Shackleford Rd
Little Rock, AR 72211
Phone
(501) 918-9192
NPI assigned
May 16, 2014
Last updated
Dec 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 61387 AZ
Internal Medicine Physician 207R00000X E-10812 AR Primary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 61387 AZ
Addiction Medicine (Internal Medicine) Physician 207RA0401X E-10812 AR
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 61387 AZ
Addiction Medicine (Preventive Medicine) Physician 2083A0300X E-10812 AR
Obesity Medicine (Preventive Medicine) Physician 2083B0002X E-10812 AR
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 61387 AZ

Addresses

Primary practice location

300 S Shackleford Rd
Little Rock, AR 72211

Mailing address

14 Farnham Loop
Little Rock, AR 72223-9199
Phone (015) 940-6052

Other practice location 1

300 S Shackleford Rd
Little Rock, AR 72211
Phone (501) 918-9192

Other practice location 2

650 E Indian School Rd
Phoenix, AZ 85012-1839
Phone (602) 277-5551

Other identifiers 1

IdentifierTypeStateIssuer
228894001MedicaidAR

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180201001530 AR Practitioner - Internal Medicine 8325308869 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-10812ARMDInternal Medicine Physician
61387AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Pain Care Clinics, PA CurrentSince Dec 30, 2017 Accepting new patients
Arkansas Pain Care Clinics, PA Internal Medicine PastSince Dec 30, 2017 Accepting new patients

Locations

300 S Shackleford Rd
Little Rock, AR 72211
Phone (501) 918-0589

300 S Shackleford Rd
Ste B
Little Rock, AR 72211
Phone (501) 918-9192

7481 Warden Rd
Sherwood, AR 72120
Phone (501) 588-4164

Interoperability endpoints

  • Direct secure messaging: mahreen.arshad.1@20061.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1780095323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FARNHAM LOOP",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722239199",
            "telephone_number": "015-940-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S SHACKLEFORD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72211",
            "telephone_number": "501-918-9192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S Shackleford Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "72211",
            "country_code": "US",
            "telephone_number": "501-918-9192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 E Indian School Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850121839",
            "country_code": "US",
            "telephone_number": "602-277-5551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARSHAD",
        "first_name": "MAHREEN",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "61387",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-10812",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "AZ",
            "license": "61387",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "AR",
            "license": "E-10812",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "AZ",
            "license": "61387",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "AR",
            "license": "E-10812",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "AR",
            "license": "E-10812",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "AZ",
            "license": "61387",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228894001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.