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THE KIDNEY CLINIC
NPI 1639487564
Internal Medicine - Nephrology in Bentonville, AR

Active since September 14, 2010
2618 SE J ST, SUITE#4, BENTONVILLE, AR 72712(479) 271-9393(479) 271-9393 Get Directions Write a Review

NPPES record last updated: March 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2016, Sep 28, 2015 (2 updates tracked since 2015).

About The Kidney Clinic NPPES

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

THE KIDNEY CLINIC (NPI 1639487564) is a healthcare organization registered as a nephrology in Bentonville, Arkansas and active in the NPI registry since September 2010. The organization lists Shamsul Alam, President, as its authorized official.

NPPES Registry Identity

NPI1639487564
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSHAMSUL ALAM MD PA
Location Address2618 SE J ST, SUITE#4Bentonville, AR 72712-3767
Mailing AddressPo Box 1037Bentonville, AR 72712-1037 · (479) 271-9393 · Fax (479) 271-0141
Phone(479) 271-9393
Fax(479) 271-9393
Organization SubpartNo
Authorized OfficialShamsul AlamPresident · (479) 271-9393
Enumeration DateSeptember 14, 2010
Last NPPES UpdateMarch 2, 20162 updates tracked since enumeration
✔ NPI 1639487564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in AR · E4954
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2618 SE J ST, Bentonville, AR 72712
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Other Names 1

Doing Business AsThe Kidney Clinic

Other Identifiers 1

Other5G686Medicare Group Ptan

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

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 ›

Other Providers at the Same Location NPPES 3

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

MR. LANCE LEE HAMILTON M.D.
Internal Medicine
2618 SE J ST, STE 12
BENTONVILLE, AR 72712
Benton County (479) 715-6505
KRISTINE KWON ROWLAND APRN
Nurse Practitioner (Acute Care)
2618 SE J ST
BENTONVILLE, AR 72712
Benton County (479) 271-9393
DR. SHAMSUL ALAM M.D.
Internal Medicine (Nephrology)
2618 SE J ST, SUITE # 2 & 4
BENTONVILLE, AR 72712
Benton County (479) 271-9393

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 Shamsul Alam MD PA's NPI number?

The NPI number for Shamsul Alam MD PA is 1639487564. It was assigned to this organization in the NPPES registry on September 14, 2010. The provider is doing business as The Kidney Clinic.

Where is Shamsul Alam MD PA located?

Shamsul Alam MD PA is located at 2618 SE J St Suite#4, Bentonville, AR 72712. The listed phone number is (479) 271-9393.

What is Shamsul Alam MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

What insurance does Shamsul Alam MD PA 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 2 other insurers list Shamsul Alam MD PA 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 Shamsul Alam MD PA was last updated on March 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.