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JOUHAR JABEEN KOLLERI MD
NPI 1639069560
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since July 03, 2025PECOS Enrolled
4301 W MARKHAM ST # 105, LITTLE ROCK, AR 72205(501) 364-2035 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jouhar Jabeen Kolleri Md NPPES

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

JOUHAR JABEEN KOLLERI MD (NPI 1639069560) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639069560
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOUHAR JABEEN KOLLERICredential: MD
Location Address4301 W MARKHAM ST # 105Little Rock, AR 72205-7101
Mailing Address3321 S Bowman Rd Apt 1219Little Rock, AR 72211-4707 · (501) 744-4444
Phone(501) 364-2035
Sole ProprietorYes
Enumeration DateJuly 3, 2025
NPPES CertifiedJuly 2, 2025
✔ NPI 1639069560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4301 W MARKHAM ST # 105, Little Rock, AR 72205
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jouhar Jabeen Kolleri Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Jouhar Kolleri's NPI number?

The NPI number for Jouhar Kolleri is 1639069560. It was assigned to this individual provider in the NPPES registry on July 3, 2025.

Where is Jouhar Kolleri located?

Jouhar Kolleri practices at 4301 W Markham St # 105, Little Rock, AR 72205. The listed phone number is (501) 364-2035.

What is Jouhar Kolleri's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jouhar Kolleri enrolled in Medicare?

Yes. Jouhar Kolleri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jouhar Kolleri was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.