Yazan Zuhair Ghosheh, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

E-10479 Issued in AR

Practice address

10100 Kanis Rd
Little Rock, AR 72205-6202

Phone

(501) 255-6000

Fax

(501) 255-6400

NPI assigned

Jul 30, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional Cardiology

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Vincent Infirmary Medical CenterGroup PAC ID 5698674166, 44 clinicians

St Marys Physician Services LLCGroup PAC ID 4981698032, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007
• CHI St Vincent Morrilton Hospital, Morrilton, AR, CCN 041324

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yghosheh456678@direct.stlukeshealth.org

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.

• St Mary'S Physician Services LLC

  • General Practice Physician
  • Russellville, AR
  • NPI 1124084991
  Medicare reassignment Care Compare group NPD
• St. Vincent Infirmary Medical Center

  • Certified Registered Nurse Anesthetist
  • Sherwood, AR
  • NPI 1316991847
  Medicare reassignment Care Compare group NPD
• Mercy Clinic Fort Smith Communities

  • Medical Specialty Clinic/Center
  • Fort Smith, AR
  • NPI 1023346202
  Medicare reassignment NPD
• Mercy Clinic Fort Smith Communities

  • Multi-Specialty Clinic/Center
  • Fort Smith, AR
  • NPI 1902073620
  Medicare reassignment NPD
• White County Medical Center

  • Hospitalist Physician
  • Searcy, AR
  • NPI 1053662890
  Medicare reassignment NPD
• Heart Clinic Arkansas

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1053367508
  NPD
• Mercy Clinic Fort Smith Communities

  • Endocrinology, Diabetes & Metabolism Physician
  • Fort Smith, AR
  • NPI 1790258002
  NPD
• St Marys Physician Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Russellville, AR
  • NPI 1063626117
  NPD
• St Vincent Infirmary Medical Center

  • Psychiatric Hospital Unit
  • Little Rock, AR
  • NPI 1710442801
  NPD
• St. Vincent Infirmary Medical Center

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1144590522
  NPD
• White County Medical Center

  • Cardiovascular Disease Physician
  • Searcy, AR
  • NPI 1063780567
  NPD
• White County Medical Center

  • Obstetrics & Gynecology Physician
  • Newport, AR
  • NPI 1740940220
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Anthony'S Hospital Association

  • Critical Access Hospital
  • Morrilton, AR
  • NPI 1891778049
  Care Compare affiliation
• St Vincent Infirmary Medical Center

  • Psychiatric Hospital Unit
  • Little Rock, AR
  • NPI 1710442801
  Care Compare affiliation
• St Vincent Infirmary Medical Center

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1780684431
  Care Compare affiliation

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1861706046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056202",
            "telephone_number": "501-255-6000",
            "fax_number": "501-255-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056202",
            "telephone_number": "501-255-6000",
            "fax_number": "501-255-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Richards Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721172939",
            "country_code": "US",
            "telephone_number": "501-758-5133",
            "fax_number": "501-758-5173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOSHEH",
        "first_name": "YAZAN",
        "middle_name": "ZUHAIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-30",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "E-10479",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AR",
            "license": "E-10479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert B Gherman, M.D.
• Anuranjan Ghimire, MD
• Mohanad Ghonim, MBBCH
• Benjamin Clayton Ghormley
• Courtney O. Ghormley, PHD
• Jasmeet Ghotra
• Sharanpreet K Ghotra
• Narmeen Giacaman, MD
• Pamela E Giardina, LCSW
• Amaryian Amere Gibbs

• Interventional Cardiology Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Interventional Cardiology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.