Mohammed Alhajji, M.D
Individual provider Active NPI Nephrology Physician · Jonesboro, AR
NPI 1962729970 · NPPES record last updated Nov 20, 2019
Key facts
- NPI
- 1962729970
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- E8099 (AR)
- Practice address
- 225 E Jackson Ave
Jonesboro, AR 72401-3119 - Phone
- (870) 207-1630
- Fax
- (870) 207-6581
- NPI assigned
- Apr 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 25
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Bernards Physician Clinics Inc
Practice addresses (Care Compare)
1207 State Route VV
Kennett, MO 63857-3823
Phone (573) 888-0222
1312 1St St
Kennett, MO 63857-2526
Phone (573) 559-2780
300 Carson St
Jonesboro, AR 72401-3104
Phone (870) 932-1198
Hospital & facility affiliations
- St Bernards Regional Med Ctr-Dialysis
- DaVita Hope Again Dialysis Center
- Usrc Paragould
- DaVita Pocahontas Dialysis
- St Bernards-Wynne
- St Bernards Medical Center
- Arkansas Methodist Medical Center
- St Bernards Five Rivers Medical Center
- Baptist Memorial Hospital Jonesboro, Inc.
- White River Medical Center
- Encompass Health Rehabilitation Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR, MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190726000126 | AR | Practitioner - Nephrology |
0941443220 | Reassigns benefits to 2 organizations |
| I20200617002305 | MO | Practitioner - Nephrology | 0941443220 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-8099 | AR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Bernards Physician Clinics, Inc. | Multi-Specialty | Current |
Accepting new patients |
| St Bernards Physician Clinics Inc | Multi-Specialty | Current |
Accepting new patients |
| St Bernards Physician Clinics Inc | Current |
Accepting new patients | |
| Ozarks Medical Center | Multi-Specialty | Past | Accepting new patients |
| Renal Treatment Centers-Illinois Inc | Past |
Accepting new patients |
Locations
1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242
1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440
1007 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 336-0472
225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630
1312 1st St
Kennett, MO 63857
Phone (573) 559-2780
1207 State Route VV
#V
Kennett, MO 63857
Phone (573) 888-0222
Interoperability endpoints
- malhajji@sbpc.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E-8099 | AR | |
| Nephrology Physician |
207RN0300X | E8099 | AR | Yes |
Addresses
Primary practice location
225 E Jackson Ave
Jonesboro, AR 72401-3119
Mailing address
225 E Jackson Ave
Jonesboro, AR 72401-3119
Phone (870) 207-1630
Other providers in Jonesboro, AR
- Waketta Lashelle Aldridge
- Leisa Alexander
- Macy Alexander
- Renita Alexander
- Jamel A Alford
- Fahiye Abdirahman Ali
- All About the Fit
- Laith Allaham
- Elizabeth Nicole Allbritton
- Allcare Homecare
All providers in Jonesboro, AR · Nephrology Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.