Ahmed Yahya Al-Aizari, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Conway, AR
NPI 1982408845 · NPPES record last updated Jun 25, 2025
Key facts
- NPI
- 1982408845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1700 Altus St Ste 110
Conway, AR 72032-4299 - Phone
- (501) 852-1366
- Fax
- (501) 852-1367
- NPI assigned
- Apr 1, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- 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 |
|---|---|---|---|---|
| I20250708002262 | AR | Order and Referring Only - Internal Medicine |
5597279034 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1700 Altus St Ste 110
Conway, AR 72032-4299
Mailing address
PO Box 9662
Conway, AR 72033-9662
Phone (501) 852-1363
Other providers in Conway, AR
- Denise Annette Aikman
- Atif M Akhtar
- Lindsey N Akin
- John Akins
- Sally Al-Abdullah
- Alan Hahn LPC PLLC
- Chequita Alcorn
- Jacob Alcorn
- Joshua Alcorn
- Mikayla Maria Alderson
All providers in Conway, AR · Student in an Organized Health Care Education/Training Program in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.