DR. BILAL NAEEM MD
NPI 1316901994
Internal Medicine - Geriatric Medicine in Springdale, AR

Q: What is Bilal Naeem's NPI number?

The NPI number for Bilal Naeem is 1316901994. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Q: What is Bilal Naeem's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Bilal Naeem was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 12, 2006PECOS EnrolledAccepts Medicare Assignment

92.94/100

CMS Quality Rating

210 S THOMPSON ST STE 4A, SPRINGDALE, AR 72764(479) 445-9900(479) 213-8142 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 2, 2024, May 8, 2020, Jul 17, 2017 (3 updates tracked since 2017).

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About Dr. Bilal Naeem Md NPPES

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

DR. BILAL NAEEM MD (NPI 1316901994) is an individual geriatric medicine provider in Springdale, Arkansas, licensed in Arkansas (E3402) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1316901994

Entity TypeIndividualMale

Primary Taxonomy207RG0300X

Provider Legal NameDR. BILAL NAEEMCredential: MD

Location Address210 S THOMPSON ST STE 4ASpringdale, AR 72764-4261

Mailing Address210 S Thompson St Ste 4aSpringdale, AR 72764-4261 · (479) 445-9900 · Fax (479) 132-8142

Phone(479) 445-9900

Fax(479) 213-8142

Sole ProprietorYes

Medical School CMSOtherGraduated 1991

Enumeration DateApril 12, 2006

Last NPPES UpdateOctober 2, 20243 updates tracked since enumeration

NPPES CertifiedOctober 2, 2024

✔ NPI 1316901994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in AR · E3402

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

210 S THOMPSON ST STE 4A, Springdale, AR 72764

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Other Identifiers 1

Medicaid148445001AR

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bilal Naeem Md 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 ID1951315811

PECOS Enrollment IDI20060130000863

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.

Medicare Billing Reassignments

Medicare enrollment records show Bilal Naeem reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ozark Senior Healthcare, PLLC

Same address

Geriatric Medicine

210 S THOMPSON ST STE 4A
Springdale, AR 72764

Reassigned Medicare billing, Arkansas enrollment
5 clinicians in this Medicare group

NPI 1124347380 (794) 459-9004

Northwest Physicians LLC

2.1 mi

Obstetrics

4077 ELM SPRINGS RD STE 105
Springdale, AR 72762

Reassigned Medicare billing, Arkansas enrollment
115 clinicians in this Medicare group

NPI 1194768721 (479) 757-5301

Access Medical Clinic Arkansas LLC

17 mi

Rural Health

871 E HERITAGE PARKWAY
Prairie Grove, AR 72753

Reassigned Medicare billing, Arkansas enrollment
150 clinicians in this Medicare group

NPI 1770203184 (479) 487-2001

Bradley Bibb, MD PLLC

86 mi

Rural Health

1176 STATE HIGHWAY 22 W STE B
Dardanelle, AR 72834

Reassigned Medicare billing, Arkansas enrollment
82 clinicians in this Medicare group

NPI 1568904480 (479) 229-3004

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

1,053 services82 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

978 services77 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

236 services109 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

81 services70 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

78 services66 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

74 services58 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

67 services33 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

64 services63 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

52 services32 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

52 services52 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.

47 services22 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

44 services40 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

12 services11 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

11 services11 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72764 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.

92.94/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.54

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Controlling High Blood Pressure

65%23 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

7%1,099 patients1/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

30%321 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

34%382 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%173 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

38%314 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 123 patients

0%123 patients

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

54%56 patients2/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 314 patients

Patients totalRate: 0% · 328 patients

1%328 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 12

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$24.43 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$9.38 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier15 claims15 services$54.49 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261

DME-Hospital Beds · category DB000N

1 supplier24 claims24 services$48.50 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers31 claims31 services$15.39 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier23 claims23 services$38.02 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

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

OZARK SENIOR HEALTHCARE, PLLC

Internal Medicine (Geriatric Medicine)

210 S THOMPSON ST STE 4A
SPRINGDALE, AR 72764

Washington County (794) 459-9004

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 Bilal Naeem's NPI number?

The NPI number for Bilal Naeem is 1316901994. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Bilal Naeem located?

Bilal Naeem practices at 210 S Thompson St Ste 4A, Springdale, AR 72764. The listed phone number is (479) 445-9900.

What is Bilal Naeem's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Bilal Naeem enrolled in Medicare?

Yes. Bilal Naeem 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.

Which organizations bill Medicare for Bilal Naeem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bilal Naeem reassigns Medicare benefits to 4 organizations: Ozark Senior Healthcare, PLLC (Springdale, AR), Northwest Physicians LLC (Springdale, AR), Access Medical Clinic Arkansas LLC (Prairie Grove, AR) and Bradley Bibb, MD PLLC (Dardanelle, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bilal Naeem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bilal Naeem accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Bilal Naeem 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 Bilal Naeem was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.