Individual provider Active NPI

Shabbir Dharamsey, M.D.

  • Cardiovascular Disease Physician
  • Pine Bluff, AR
National Provider Identifier
1972523801
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
E0354 Issued in AR
Practice address
7200 S Hazel St
Pine Bluff, AR 71603-7836
Phone
(870) 534-2900
Fax
(870) 534-2900
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X E0354 AR Primary

Addresses

Primary practice location

7200 S Hazel St
Pine Bluff, AR 71603-7836

Mailing address

7200 S Hazel St
Pine Bluff, AR 71603-7836
Phone (870) 534-2900

Other identifiers 1

IdentifierTypeStateIssuer
15693000000OtherARQUAL CHOICE

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
I20050114000534 AR Practitioner - Cardiovascular Disease (Cardiology) 0547159295 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E0354ARMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Hospital Association, Inc CurrentSince Jul 1, 1995 Accepting new patients
Jefferson Hospital Association Inc CurrentSince Jul 1, 1995 Accepting new patients
Dr Q Pain & Spine Clinic, PA Past Accepting new patients

Locations

7200 S Hazel St
Pine Bluff, AR 71603
Phone (870) 534-2900

1609 W 40th Ave
Ste 312
Pine Bluff, AR 71603
Phone (870) 534-2900

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972523801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 S HAZEL ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037836",
            "telephone_number": "870-534-2900",
            "fax_number": "870-534-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 S HAZEL ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037836",
            "telephone_number": "870-534-2900",
            "fax_number": "870-534-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHARAMSEY",
        "first_name": "SHABBIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "E0354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE",
            "identifier": "15693000000",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.