Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ALI AMJAD MD
NPI 1962206201
Student in an Organized Health Care Education/Training Program in Crossett, AR

Active since April 04, 2025PECOS Enrolled
909 UNITY RD STE B, CROSSETT, AR 71635(870) 364-9111 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 25, 2026, Apr 4, 2025 (2 updates tracked since 2025).

About Dr. Ali Amjad Md NPPES

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

DR. ALI AMJAD MD (NPI 1962206201) is an individual student in an organized health care education/training program in Crossett, Arkansas and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962206201
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ALI AMJADCredential: MD
Location Address909 UNITY RD STE BCrossett, AR 71635-9444
Mailing Address604 Main St Apt FCrossett, AR 71635-3439 · (929) 606-4090
Sole ProprietorNo
Enumeration DateApril 4, 2025
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
NPI 1962206201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
909 UNITY RD STE B, Crossett, AR 71635

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ali Amjad 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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
909 UNITY RD STE B
CROSSETT, AR 71635

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 Ali Amjad's NPI number?

The NPI number for Ali Amjad is 1962206201. It was assigned to this individual provider in the NPPES registry on April 4, 2025.

Where is Ali Amjad located?

Ali Amjad practices at 909 Unity Rd Ste B, Crossett, AR 71635. The listed phone number is (870) 364-9111.

What is Ali Amjad's specialty?

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

Is Ali Amjad enrolled in Medicare?

Yes. Ali Amjad is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ali Amjad was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.