Organization Active NPI

Nauman Yunus MD PA

  • Internal Medicine Physician
  • Pine Bluff, AR
National Provider Identifier
1821544628
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E0891 Issued in AR
Legal business name
NAUMAN YUNUS MD PA
Practice address
1600 West 40TH Ave
Jefferson Regional Medical Center
Pine Bluff, AR 71603
Phone
(870) 541-7650
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Dr. Nauman Yunus, M.D.NPI 1487601712
Title
Director
Phone
(870) 692-6627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X E0891 AR Primary

Addresses

Primary practice location

1600 West 40TH Ave
Jefferson Regional Medical Center
Pine Bluff, AR 71603

Mailing address

PO Box 1572
Pine Bluff, AR 71613-1572
Phone (870) 692-6627

Other identifiers 1

IdentifierTypeStateIssuer
130203001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161128002025 AR Part B Supplier - Clinic/Group Practice 6204115777 Receives reassigned benefits from 1 practitioner
Practice locations: Pine Bluff, AR

National Provider Directory

National Provider Directory

Locations

1600 W 40th Ave
Ofc
Pine Bluff, AR 71603
Phone (870) 692-6627

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1821544628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1572",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716131572",
            "telephone_number": "870-692-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WEST 40TH AVE",
            "address_2": "JEFFERSON REGIONAL MEDICAL CENTER",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "71603",
            "telephone_number": "870-541-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAUMAN YUNUS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "YUNUS",
        "authorized_official_first_name": "NAUMAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "870-692-6627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E0891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130203001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.