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AVICENNA HEALTH
NPI 1528617222
Internal Medicine in Fort Smith, AR

Active since September 05, 2019
3019 BRIGHTON PT, FORT SMITH, AR 72903(833) 284-2362(479) 777-7123 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 12, 2020, Oct 16, 2019, Sep 5, 2019 (3 updates tracked since 2019).

About Avicenna Health NPPES

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

AVICENNA HEALTH (NPI 1528617222) is a healthcare organization registered as an internal medicine in Fort Smith, Arkansas and active in the NPI registry since September 2019. The organization lists Ahmad Kaako, Founder, as its authorized official.

NPPES Registry Identity

NPI1528617222
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameAVICENNA HOSPITAL MEDICINE, LLC
Location Address3019 BRIGHTON PTFort Smith, AR 72903-5477
Mailing Address3019 Brighton PtFort Smith, AR 72903-5477 · (833) 284-2362 · Fax (479) 777-7123
Phone(833) 284-2362
Fax(479) 777-7123
Organization SubpartNo
Authorized OfficialAhmad KaakoFounder · (479) 926-9426
Enumeration DateSeptember 5, 2019
Last NPPES UpdateNovember 12, 20203 updates tracked since enumeration
NPPES CertifiedNovember 12, 2020
✔ NPI 1528617222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3019 BRIGHTON PT, Fort Smith, AR 72903
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Other Names 1

Doing Business AsAvicenna Health

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Avicenna Hospital Medicine, LLC's NPI number?

The NPI number for Avicenna Hospital Medicine, LLC is 1528617222. It was assigned to this organization in the NPPES registry on September 5, 2019. The provider is doing business as Avicenna Health.

Where is Avicenna Hospital Medicine, LLC located?

Avicenna Hospital Medicine, LLC is located at 3019 Brighton Pt, Fort Smith, AR 72903. The listed phone number is (833) 284-2362.

What is Avicenna Hospital Medicine, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Avicenna Hospital Medicine, LLC was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.