Individual provider Active NPI

Sira Faizi, DO

  • Family Medicine Physician
  • Pine Bluff, AR
National Provider Identifier
1811637481
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-19842 Issued in AR
Practice address
1601 W 40TH Ave Ste 100
Pine Bluff, AR 71603-6069
Phone
(870) 541-6000
NPI assigned
Mar 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-19842 AR Primary

Addresses

Primary practice location

1601 W 40TH Ave Ste 100
Pine Bluff, AR 71603-6069

Mailing address

1601 W 40TH Ave Ste 100
Pine Bluff, AR 71603-6069
Phone (870) 541-6000

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
I20251028002492 AR Practitioner - Family Practice 1153810494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ess Hospitalist LLCGroup PAC ID 6103085295, 19 clinicians

Practice addresses (Care Compare)

1015 Unity Rd
Crossett, AR 71635-9443
Phone (870) 364-4111

Hospital & facility affiliations

  • Ashley County Medical Center Hospital, Crossett, AR, CCN 041323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-19842ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ess Hospitalist LLC CurrentSince Oct 1, 2025 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc CurrentSince Oct 1, 2025 Accepting new patients
Family Practice Associates of Clarksville,PA PastSince Apr 3, 2022 Accepting new patients

Locations

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

Organizations & group practices 3

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 1

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": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1811637481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W 40TH AVE STE 100",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036069",
            "telephone_number": "870-541-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W 40TH AVE STE 100",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036069",
            "telephone_number": "870-541-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIZI",
        "first_name": "SIRA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-19842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.