SHAMSUL ALAM M.D. – NPI #1912953373
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

SHAMSUL ALAM is a physician located in BENTONVILLE, AR. NPPES has assigned the NPI number 1912953373 to SHAMSUL ALAM on May 26, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 11 years ago on Sep 28, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHAMSUL ALAM below.

NPI Profile for
SHAMSUL ALAM

NPI Number
1912953373
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SHAMSUL ALAM
Credentials
M.D.
Primary location
2618 SE J ST
SUITE # 2 & 4
BENTONVILLE, AR 72712-3767
Phone: (479) 271-9393 Fax: (479) 271-0141
Mailing address
11149 COBBLESTONE
BENTONVILLE, AR 72712-7379
Phone: (479) 271-9393 Fax: (479) 271-0141
Sole Proprietor
No
Updated
Identifiers

Identifiers for SHAMSUL ALAM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHEROKLAHOMA STATE MEDICAL LICENSEOK27959
MEDICAIDAR168252001
MEDICAIDARA68252001
MEDICAIDOK200277530A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 AR E4954

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SHAMSUL ALAM is affiliated with the following medical group(s):
  • HOSPITAL
    • NORTHWEST MEDICAL CENTER-SPRINGDALE
      609 WEST MAPLE AVENUE
      SPRINGDALE, AR 72764
    • SILOAM SPRINGS REGIONAL HOSPITAL
      603 NORTH PROGRESS AVENUE
      SILOAM SPRINGS, AR 72761
    • WASHINGTON REGIONAL MEDICAL CENTER
      3215 N NORTH HILLS BOULEVARD
      FAYETTEVILLE, AR 72703
  • DIALYSIS FACILITY
    • DAVITA BENTONVILLE DIALYSIS
      1104 SE 30TH ST
      BENTONVILLE, AR 72712
    • DAVITA FAYETTEVILLE DIALYSIS
      509 E MILLSAP STE 111
      FAYETTEVILLE, AR 72703
    • DAVITA SPRINGDALE DIALYSIS
      2070 McKenzie Road
      SPRINGDALE, AR 72762
    • US RENAL CARE - GROVE
      1200 NEO LOOP
      GROVE, OK 74344

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.