NPIMap

Individual provider Active NPI

Maher Alesali, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • White Hall, AR
National Provider Identifier
1801901509
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
E2897 Issued in AR
Practice address
7500 Dollarway Rd
Suite 404
White Hall, AR 71602-3027
Phone
(870) 879-9595
Fax
(870) 879-9599
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X E2897 AR Primary

Addresses

Primary practice location

7500 Dollarway Rd
Suite 404
White Hall, AR 71602-3027

Mailing address

7500 Dollarway Rd
Suite 404
White Hall, AR 71602-3027
Phone (870) 879-9595

Other identifiers 2

IdentifierTypeStateIssuer
5M127OtherARBCBS
146899002MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maheralesali@jrmc.allscriptsdirect.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
I20090106000088 AR Practitioner - Endocrinology 7416010236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Hospital Association, Inc 80 clinicians

Practice addresses (Care Compare)

7500 Dollarway Rd
Suite 404
White Hall, AR 71602-3083
Phone (870) 879-9595

Hospital & facility affiliations

  • Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071
  • Baptist Health Medical Center-Drew County Hospital, Monticello, AR, CCN 040051
  • Ashley County Medical Center Hospital, Crossett, AR, CCN 041323
  • Chicot Memorial Medical Center Hospital, Lake Village, AR, CCN 041328
  • Dallas County Medical Center Hospital, Fordyce, AR, CCN 041317

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E2897ARMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Hospital Association, Inc. CurrentSince Jan 1, 2009 Accepting new patients
Jefferson Hospital Association, Inc Endocrinology, Diabetes & Metabolism Current Accepting new patients
Jefferson Hospital Association, Inc CurrentSince Jan 1, 2009 Accepting new patients
Jefferson Hospital Assn, Inc. CurrentSince Oct 1, 2022 Accepting new patients
South Arkansas Endocrinology Past Accepting new patients

Locations

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

1601 W 40th Ave
Ste 301
Pine Bluff, AR 71603
Phone (870) 541-4285

4747 Dusty Lake Dr
Ste G2
Pine Bluff, AR 71603
Phone (870) 534-2348

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

7500 Dollarway Rd
Ste 404
White Hall, AR 71602
Phone (870) 850-7173

Organizations & group practices 11

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 8

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1801901509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 DOLLARWAY RD",
            "address_2": "SUITE 404",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023027",
            "telephone_number": "870-879-9595",
            "fax_number": "870-879-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 DOLLARWAY RD",
            "address_2": "SUITE 404",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023027",
            "telephone_number": "870-879-9595",
            "fax_number": "870-879-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALESALI",
        "first_name": "MAHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AR",
            "license": "E2897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5M127",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146899002",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maheralesali@jrmc.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "7500 Dollarway Rd",
            "address_2": "Suite 404",
            "city": "White Hall",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716023027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in White Hall, AR

Sources for this page

Verify at the official NPI Registry.