| Prime Physicians Llc | |
|
5808 Callaway Ln Fort Smith AR 72916-8437 | |
| (479) 696-8880 | |
| Not Available |
| Full Name | Prime Physicians Llc |
|---|---|
| Speciality | General Practice |
| Location | 5808 Callaway Ln, Fort Smith, Arkansas |
| Authorized Official Name and Position | Kalyan Akkineni (PARTNER) |
| Authorized Official Contact | 4234263918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Physicians Llc 5808 Callaway Ln Fort Smith AR 72916-8437 Ph: (479) 242-4455 | Prime Physicians Llc 5808 Callaway Ln Fort Smith AR 72916-8437 Ph: (479) 696-8880 |
| NPI Number | 1033454723 |
|---|---|
| Provider Enumeration Date | 12/06/2012 |
| Last Update Date | 04/10/2026 |
| Medicare PECOS PAC ID | 4183878176 |
|---|---|
| Medicare Enrollment ID | O20130128000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033454723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Suh N Niba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528013851 PECOS PAC ID: 9436139292 Enrollment ID: I20040722000347 |
| Provider Name | Muhammad I Shakir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952352213 PECOS PAC ID: 0446336408 Enrollment ID: I20080401000167 |
| Provider Name | Mohammed Shakeel Ur Rehman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477683886 PECOS PAC ID: 1052412152 Enrollment ID: I20080624000785 |
| Provider Name | Ladaryl M Lankford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871708180 PECOS PAC ID: 0345314563 Enrollment ID: I20080806000682 |
| Provider Name | Kalyan Akkineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679780969 PECOS PAC ID: 3577638683 Enrollment ID: I20080822000737 |
| Provider Name | Bhargav Thangali Varadaraju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982859351 PECOS PAC ID: 0941355911 Enrollment ID: I20090827000642 |
| Provider Name | John P Agent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649217191 PECOS PAC ID: 2365582624 Enrollment ID: I20091216000595 |
| Provider Name | Mohammad N Anower |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942465919 PECOS PAC ID: 7113041211 Enrollment ID: I20100826000234 |
| Provider Name | Agnes V Kwo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215224704 PECOS PAC ID: 9638313166 Enrollment ID: I20130923000517 |
| Provider Name | Joseph K Tetirick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386983468 PECOS PAC ID: 9931321536 Enrollment ID: I20141115000067 |
| Provider Name | Jennifer Tetirick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093193823 PECOS PAC ID: 4981910486 Enrollment ID: I20150828001427 |
| Provider Name | Gina Marie Vargas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720218894 PECOS PAC ID: 1850557414 Enrollment ID: I20150914000781 |
| Provider Name | Frieda-anne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619413077 PECOS PAC ID: 8527343656 Enrollment ID: I20170331001707 |
| Provider Name | Brooke M Youngwolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275074049 PECOS PAC ID: 4385921535 Enrollment ID: I20170426000940 |
| Provider Name | Fredely Petiote |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639599194 PECOS PAC ID: 4981905692 Enrollment ID: I20170906000801 |
| Provider Name | Sunil Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306259866 PECOS PAC ID: 9830455971 Enrollment ID: I20171107000461 |
| Provider Name | Erin M Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144738964 PECOS PAC ID: 3971868175 Enrollment ID: I20180517000210 |
| Provider Name | Amanda L Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386137826 PECOS PAC ID: 3577812189 Enrollment ID: I20180815001351 |
| Provider Name | Megan L Schroyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558522193 PECOS PAC ID: 2466576152 Enrollment ID: I20180816000200 |
| Provider Name | Sunil Momin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780039677 PECOS PAC ID: 9638469661 Enrollment ID: I20181018000828 |
| Provider Name | Samantha Shankle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124514328 PECOS PAC ID: 8921352303 Enrollment ID: I20181121002390 |
| Provider Name | Nirmal Guragain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144699984 PECOS PAC ID: 2567706765 Enrollment ID: I20181128003118 |
| Provider Name | Brandon Vick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972034775 PECOS PAC ID: 1850668252 Enrollment ID: I20190514001422 |
| Provider Name | Larry T Robins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982135000 PECOS PAC ID: 0648547042 Enrollment ID: I20190517000163 |
| Provider Name | Joyce Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558716142 PECOS PAC ID: 7315239258 Enrollment ID: I20190612002793 |
| Provider Name | Tara Rae Sandusky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063069326 PECOS PAC ID: 8325370539 Enrollment ID: I20191021002200 |
| Provider Name | Lino Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588212575 PECOS PAC ID: 9638401649 Enrollment ID: I20191024000545 |
| Provider Name | Sarfaraz Nayeem Hyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831620939 PECOS PAC ID: 1254602931 Enrollment ID: I20191126002081 |
| Provider Name | Ashley Renee Calvillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811538424 PECOS PAC ID: 3072948157 Enrollment ID: I20200117001604 |
| Provider Name | Brett Monroe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497246086 PECOS PAC ID: 7113353632 Enrollment ID: I20200131001813 |
| Provider Name | Brian Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275054215 PECOS PAC ID: 3779837174 Enrollment ID: I20200311001958 |
| Provider Name | Amsa Arshad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467987875 PECOS PAC ID: 1759700578 Enrollment ID: I20200929000562 |
| Provider Name | Rafay Cheema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649761917 PECOS PAC ID: 3779831078 Enrollment ID: I20200929001720 |
| Provider Name | Fiza Fatima Memon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740700574 PECOS PAC ID: 1153693783 Enrollment ID: I20201118001699 |
| Provider Name | Saeem Akhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619497435 PECOS PAC ID: 6204107469 Enrollment ID: I20201119000183 |
| Provider Name | Sri Rajesh Vallurupalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841712106 PECOS PAC ID: 1658783188 Enrollment ID: I20201207002267 |
| Provider Name | Dorcas Lomo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225599863 PECOS PAC ID: 2163757519 Enrollment ID: I20210412002093 |
| Provider Name | Nitin V Gopinath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326528282 PECOS PAC ID: 3476805144 Enrollment ID: I20210825000770 |
| Provider Name | Diem Quynh Phuong Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689171019 PECOS PAC ID: 9234535014 Enrollment ID: I20210901003916 |
| Provider Name | Muralikrishna Porandla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740787902 PECOS PAC ID: 3476959982 Enrollment ID: I20210909000365 |
| Provider Name | Laurie Beam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306513635 PECOS PAC ID: 2365849320 Enrollment ID: I20210920000426 |
| Provider Name | Prudence Nassem Ipaye-adebiyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689136475 PECOS PAC ID: 4284969551 Enrollment ID: I20220110001513 |
| Provider Name | Rachel F Mauldin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326674458 PECOS PAC ID: 0345636908 Enrollment ID: I20220407000159 |
| Provider Name | Muhammad Ahzam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891315008 PECOS PAC ID: 8527480177 Enrollment ID: I20220727001794 |
| Provider Name | Nikitha Manem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659925295 PECOS PAC ID: 6406232636 Enrollment ID: I20220926002320 |
| Provider Name | Raveena Manem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639723273 PECOS PAC ID: 4082090220 Enrollment ID: I20220926002539 |
| Provider Name | Joshua Spore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710563259 PECOS PAC ID: 6709240021 Enrollment ID: I20230919003329 |
| Provider Name | Joseph Powers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497336770 PECOS PAC ID: 4284033416 Enrollment ID: I20231018003099 |
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