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DR. FAYZ A HUDEFI MD NPI 1992740393


NPI Information

NPI: 1992740393
Provider Name: DR. FAYZ A HUDEFI, MD
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
1001 TOWSON AVE FL 6
FORT SMITH, AR
ZIP 72901
Phone: (479) 441-5601
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DR. Fayz A Hudefi, MD is an addiction medicine psychiatry neurology in Fort Smith, AR with 32 years of experience. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine DR. Fayz A Hudefi, MD NPI is 1992740393. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1001 TOWSON AVE FL 6
FORT SMITH, AR
ZIP 72901-921
Phone: (479) 441-5601
Fax: (479) 709-7423

The NPI 1992740393 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)
  • Psychiatric diagnostic evaluation (HCPCS:90791)

The enumeration date for this NPI number is 6/19/2006 and was last updated on 11/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryE4773ARKANSASNo
22084A0401XPsychiatry & NeurologyAddiction MedicineE-4773ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
106070018900OTHERARKANSASQUALCHOICE
25N608OTHERARKANSASBLUE CROSS
3162087001MEDICAIDARKANSAS
4200088300AMEDICAIDOKLAHOMA
5000181515OTHERARKANSASUNITED BEHAVIORAL HLTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.