WISAM NASIR CHAUDHARY MD
NPI 1396448007
Student in an Organized Health Care Education/Training Program in Fort Smith, AR
NPI Status: Active since March 22, 2023
Contact Information
612 S 12TH ST
FORT SMITH, AR
ZIP 72901
Phone: (479) 785-2431
Fax: (479) 785-0732
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About WISAM CHAUDHARY
This page provides the complete NPI Profile along with additional information for Wisam Chaudhary, a primary care provider established in Fort Smith, Arkansas with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1396448007 assigned on March 2023. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1396448007
- Provider Name
- WISAM NASIR CHAUDHARY MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 612 S 12TH ST FORT SMITH, AR 72901
- Location Phone
- (479) 785-2431
- Location Fax
- (479) 785-0732
- Mailing Address
- 612 S 12TH ST FORT SMITH, AR 72901
- Mailing Phone
- (479) 785-2431
- Mailing Fax
- (479) 785-0732
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-22-2023
- Last Update Date
- 03-22-2023
- Code Navigator
A primary care provider (PCP) like Wisam Chaudhary sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Wisam Chaudhary is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 4 | 4 | 8 | 0 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 8 | 4 | 16 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 8 + 4 + 1 + 6 + 0 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1396448007 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699728279 | ELIZABETH RORIE PETRAY LCSW Individual | Social Worker (Clinical) | 612 S 12TH ST FORT SMITH, AR 72901 (479) 785-2431 |
| 1194048876 | HALIE SCHAFFER APN Individual | Nurse Practitioner (Family) | 612 S 12TH ST FORT SMITH, AR 72901 (479) 785-2431 |
| 1306191762 | UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES Organization | Nurse Practitioner (Family) | 612 S 12TH ST FORT SMITH, AR 72901 (479) 785-2431 |
| 1710944608 | UAMS Organization | Nurse Practitioner | 612 S 12TH ST FORT SMITH, AR 72901 (479) 785-2431 |
| 1053652727 | UAMS FAMILY MEDICAL CENTER FACILITY Organization | Family Medicine | 612 S 12TH ST FORT SMITH, AR 72901 (479) 785-2431 |
| 1548644875 | DR. CHELSIE LYNN VELIKOVSKY M.D. Individual | Student in an Organized Health Care Education/Training Program | 612 S 12TH ST FORT SMITH, AR 72901 (479) 423-3193 |
| 1346582509 | DR. MATTHEW AARON LAMB M.D. Individual | Emergency Medicine | 612 S 12TH ST FORT SMITH, AR 72901 (479) 424-3193 |
| 1801257480 | JESSICA B BINZ PHARMD, BCACP Individual | Pharmacist (Ambulatory Care) | 612 S 12TH ST FORT SMITH, AR 72901 (479) 424-3194 |
| 1710229059 | REBECCA MARIE PADLEY M.D., M.B.A. Individual | Family Medicine | 612 S 12TH ST FORT SMITH, AR 72901 (479) 424-3193 |
| 1447486790 | DR. DOUGLAS BRIAN HENDREX M.D. Individual | Family Medicine | 612 S 12TH ST FORT SMITH, AR 72901 (479) 785-2431 |
| 1114371119 | SARAH ANN FRANKLIN M.D. Individual | Family Medicine | 612 S 12TH ST FORT SMITH, AR 72901 (479) 785-2431 |
| 1710333562 | CHRISTOPHER SAITO Individual | Family Medicine | 612 S 12TH ST FORT SMITH, AR 72901 (479) 785-2431 |
| 1144873571 | MARIAH HIATT LMSW Individual | Social Worker | 612 S 12TH ST FORT SMITH, AR 72901 (479) 452-5040 |
| 1124273420 | PERSPECTIVES BEHAVIORAL HEALTH MANAGEMENT, LLC Organization | Counselor (Mental Health) | 612 S 12TH ST FORT SMITH, AR 72901 (479) 783-5353 |
| 1922539907 | JONATHAN D MOSER M.D. Individual | Family Medicine | 612 S 12TH ST FORT SMITH, AR 72901 (479) 785-2431 |
| 1982135000 | DR. LARRY TYRAN ROBINS M.D Individual | Emergency Medicine | 612 S 12TH ST FORT SMITH, AR 72901 (479) 785-2431 |
| 1649761917 | DR. RAFAY S CHEEMA MD Individual | Internal Medicine | 612 S 12TH ST FORT SMITH, AR 72901 (479) 785-2431 |
| 1689171019 | DR. DIEM-QUYNH PHUONG NGUYEN MD Individual | Family Medicine | 612 S 12TH ST FORT SMITH, AR 72901 (479) 785-2431 |
| 1093088023 | ROSLYN A GRIMSLEY APN Individual | Nurse Practitioner | 612 S 12TH ST FORT SMITH, AR 72901 (479) 785-2431 |
| 1649910761 | ARMANI ALI Individual | Student in an Organized Health Care Education/Training Program | 612 S 12TH ST FORT SMITH, AR 72901 (479) 785-2431 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396448007, enumerated in the NPI registry as an "individual" on March 22, 2023
The provider is located at 612 S 12th St Fort Smith, Ar 72901 and the phone number is (479) 785-2431
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on March 22, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.