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DR. HUMDUM PASHA DURRANI M.D.
NPI 1184861270
Internal Medicine - Hematology & Oncology in Fort Smith, AR

Active since January 12, 2009PECOS EnrolledAccepts Medicare Assignment
71.68/100
CMS Quality Rating
7001 ROGERS AVE, SUITE 200, FORT SMITH, AR 72903(479) 314-7490 Get Directions Write a Review

NPPES record last updated: September 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Humdum Pasha Durrani M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HUMDUM PASHA DURRANI M.D. (NPI 1184861270) is an individual hematology & oncology provider in Fort Smith, Arkansas, licensed in North Carolina (2011-01087) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1184861270
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. HUMDUM PASHA DURRANICredential: M.D.
Location Address7001 ROGERS AVE, SUITE 200Fort Smith, AR 72903-4073
Mailing Address7001 Rogers Ave, Suite 200Fort Smith, AR 72903-4073 · (479) 314-7490
Phone(479) 314-7490
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 12, 2009
Last NPPES UpdateSeptember 15, 2016
✔ NPI 1184861270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NC · 2011-01087
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2011-01087 (NC)
Also ListedHospitalistTaxonomy 208M00000X · License 2011-01087 (NC)
7001 ROGERS AVE, Fort Smith, AR 72903
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Humdum Pasha Durrani M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830330851
PECOS Enrollment IDI20140929000154
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
423 services145 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
399 services267 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
118 services44 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
102 services68 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$157.74 typical visit price
range $51.36 – $157.74
Typical copayment $39.43 (range $12.84 – $39.43)
Most-billed visit code 99205
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality56.4
Improvement Activities40
Cost69.41

Reported Quality Measures

Advance Care Plan
34%584 patients2/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
29%248 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
48%96 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
98%249 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
64%2,306 patients2/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
96%392 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Plan of Care for Pain
97%149 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 543 patients
Patients screened: 100% · 543 patients
89%142 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$16.01 avg. paid by Medicare
Capecitabine, oral, 150 mg J8520
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers23 claims842 services$0.36 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers34 claims3,232 services$0.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAYMOND C. GOODMAN JR. M.D.
Surgery
7001 ROGERS AVE, SUITE 200
FORT SMITH, AR 72903
Sebastian County (479) 314-4620
MERCY CLINIC FORT SMITH COMMUNITIES
Clinic/Center (Medical Specialty)
7001 ROGERS AVE, SUITE 401A
FORT SMITH, AR 72903
Sebastian County (479) 314-4650
DR. JAMES MICHAEL WHITENECK M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
7001 ROGERS AVE, SUITE 401
FORT SMITH, AR 72903
Sebastian County (479) 314-4650
DR. MERLE E MCCLAIN MD
Pediatrics
7001 ROGERS AVE
FORT SMITH, AR 72903
Sebastian County (479) 452-2077
MELISSA RAINWATER M.D.
Obstetrics & Gynecology
7001 ROGERS AVE, SUITE 502
FORT SMITH, AR 72903
Sebastian County (479) 484-5901
DR. STUART DEAN HARAWAY M.D.
Obstetrics & Gynecology
7001 ROGERS AVE, SUITE 400
FORT SMITH, AR 72903
Sebastian County (479) 274-5000
KATHLEEN TOON
Nurse Practitioner
7001 ROGERS AVE
FORT SMITH, AR 72903
Sebastian County (479) 314-7490
ETHAN PEARSON MSN, APRN, FNP-C
Nurse Practitioner (Family)
7001 ROGERS AVE
FORT SMITH, AR 72903
Sebastian County (479) 314-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Humdum Durrani's NPI number?

The NPI number for Humdum Durrani is 1184861270. It was assigned to this individual provider in the NPPES registry on January 12, 2009.

Where is Humdum Durrani located?

Humdum Durrani practices at 7001 Rogers Ave Suite 200, Fort Smith, AR 72903. The listed phone number is (479) 314-7490.

What is Humdum Durrani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Humdum Durrani enrolled in Medicare?

Yes. Humdum Durrani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Humdum Durrani accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Humdum Durrani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Humdum Durrani was last updated on September 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.