NPIMap

Individual provider Active NPI

Ricki Yvonne Fram, M.D.

  • Cardiovascular Disease Physician
  • Pine Bluff, AR
National Provider Identifier
1992994396
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
E-5383 Issued in AR
Practice address
1601 W 40TH Ave
Suite 301
Pine Bluff, AR 71603-6319
Phone
(870) 541-4285
Fax
(870) 541-4297
NPI assigned
Oct 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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 E-5383 AR Primary

Addresses

Primary practice location

1601 W 40TH Ave
Suite 301
Pine Bluff, AR 71603-6319

Mailing address

1601 W 40TH Ave
Suite 301
Pine Bluff, AR 71603-6319
Phone (870) 541-4285

Other identifiers 2

IdentifierTypeStateIssuer
5I439OtherARBCBS
205668001MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rickifram@jrmc.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141016000846 AR Practitioner - Cardiovascular Disease (Cardiology) 1153542170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Hospital Association, IncGroup PAC ID 8123927431, 80 clinicians

Practice addresses (Care Compare)

1601 W 40TH Ave
301 Cardiology Associates
Pine Bluff, AR 71603-6069
Phone (870) 541-4285

Hospital & facility affiliations

  • Jefferson Homecare Home health agency, White Hall, AR, CCN 047093
  • Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071
  • Delta Memorial Hospital Hospital, Dumas, AR, CCN 041326

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-5383ARMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Hospital Association, Inc. CurrentSince Dec 11, 2021 Accepting new patients
Jefferson Hospital Association, Inc Cardiovascular Disease Current Accepting new patients
Jefferson Hospital Association, Inc Cardiovascular Disease CurrentSince Sep 1, 2014 Accepting new patients
Jefferson Hospital Association, Inc CurrentSince Sep 1, 2014 Accepting new patients

Locations

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

1601 W 40th Ave
Ste 301
Pine Bluff, AR 71603
Phone (870) 541-4285

1609 W 40th Ave
Ste 403
Pine Bluff, AR 71603
Phone (870) 534-4188

Interoperability endpoints

  • Direct secure messaging: rickifram@jrmc.allscriptsdirect.net

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1992994396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W 40TH AVE",
            "address_2": "SUITE 301",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036319",
            "telephone_number": "870-541-4285",
            "fax_number": "870-541-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W 40TH AVE",
            "address_2": "SUITE 301",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036319",
            "telephone_number": "870-541-4285",
            "fax_number": "870-541-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAM",
        "first_name": "RICKI",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "E-5383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5I439",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205668001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rickifram@jrmc.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1601 W 40th Ave",
            "address_2": "Suite 301",
            "city": "Pine Bluff",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716036319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.