Fayz A Hudefi, MD

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

E-4773 Issued in AR

Practice address

1001 Towson Ave FL 6
Fort Smith, AR 72901-4921

Phone

(479) 441-5601

Fax

(479) 709-7423

NPI assigned

Jun 19, 2006

Last updated

Nov 21, 2022By the provider in NPPES

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

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AR, OK2 enrollments

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 2

Specialty

PsychiatryAlso: Family Practice

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Baptist Health ServicesGroup PAC ID 0648514133, 103 clinicians

Valley Behavioral Health System LLCGroup PAC ID 2365693603, 4 clinicians

Mena Hospital CommissionGroup PAC ID 8527057678, 13 clinicians

Western Arkansas Counseling and Guidance Center, IncGroup PAC ID 1355326174, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mena Regional Health System Hospital, Mena, AR, CCN 041334
• Baptist Health - Fort Smith Hospital, Fort Smith, AR, CCN 040055

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fhudefi219140@direct.baptist-healthar.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baptist Health Services

  dba Baptist Health Foot and Ankle Clinic-Fort Smith

  • Foot & Ankle Surgery Podiatrist
  • Fort Smith, AR
  • NPI 1922587690
  Medicare reassignment Care Compare group NPD
• Mena Hospital Commission

  dba Mena Regional Health System

  • Rural Acute Care Hospital
  • Mena, AR
  • NPI 1285739581
  Medicare reassignment Care Compare group NPD
• Western Arkansas Counseling & Guidance Center, Inc

  dba The Guidance Center

  • Community/Behavioral Health Agency
  • Fort Smith, AR
  • NPI 1326040692
  Medicare reassignment Care Compare group NPD
• Valley Behavioral Health System, LLC

  dba Valley Behavioral Health

  • Psychiatry Physician
  • Barling, AR
  • NPI 1528325651
  Medicare reassignment Care Compare group
• Healing Wound Care LLC

  • Wound Care Registered Nurse
  • Alma, AR
  • NPI 1164290904
  Medicare reassignment NPD
• My Psych Health LLC

  • Counseling Psychologist
  • Alma, AR
  • NPI 1215643028
  Medicare reassignment NPD
• Homecare Advisors LLC

  dba Pinnacle Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durant, OK
  • NPI 1689152894
  Medicare reassignment NPD
• Baptist Health Services

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1750856043

  Psychiatry

  NPD
• Mena Hospital Commission

  dba Mena Regional Health System

  • Family Medicine Physician
  • Mena, AR
  • NPI 1003473463
  NPD
• Mena Hospital Commission

  dba Mena Regional Health System

  • Registered Nurse
  • Mena, AR
  • NPI 1093810392
  NPD
• Mena Hospital Commission

  dba Mena Regional Health System Rehab Unit

  • Rehabilitation Hospital Unit
  • Mena, AR
  • NPI 1902901200
  NPD
• The Guidance Center - Ozark Clinic

  • Community/Behavioral Health Agency
  • Ozark, AR
  • NPI 1144495235
  NPD

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

• Baptist Health Regional Hospitals

  dba Baptist Health - Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1710463146
  Care Compare affiliation
• Mena Hospital Commission

  dba Mena Regional Health System

  • Critical Access Hospital
  • Mena, AR
  • NPI 1861449639
  Care Compare affiliation

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1992740393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114393",
            "telephone_number": "479-441-5601",
            "fax_number": "479-521-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TOWSON AVE FL 6",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014921",
            "telephone_number": "479-441-5601",
            "fax_number": "479-709-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDEFI",
        "first_name": "FAYZ",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2022-11-21",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E4773",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "AR",
            "license": "E-4773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "06070018900",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5N608",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162087001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200088300A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HLTH",
            "identifier": "000181515",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hsin-Wei Huang, AU.D.
• Donald Ray Hubbard, LPC
• Alyssa Huber, RD
• Lisa Kay Huckelbury, M.S. CCC-SLP
• Austin Christopher Huddleston, LMT
• Patience Hudlow, MHPP
• Amanda Hudson
• Sue Hughart
• Devon Hughes, PA-C
• Juan Martin Hughes, MD

• Addiction Medicine (Psychiatry & Neurology) Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.