Shamsul Alam MD PA
NPI 1639487564ActiveOrganization· Internal Medicine, Nephrology· Bentonville, AR
Internal Medicine, Nephrology in Bentonville, Arkansas, registered in NPPES in September 2010. The authorized official on file is Shamsul Alam, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639487564 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 14, 2010 |
| Last updated in NPPES | Mar 2, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | E4954 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
Other nephrologists in Bentonville
- 1912953373
- 1396856084