MOUSTAFA ALY (MD) – Neurology Physician, NPI 1003443706
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
152 NEUROLOGY in AR
Provider Addresses for MOUSTAFA ALY (MD)
655 Dave Ward Dr Ste 103
Conway, AR 720347145
Phone: (501) 209-4040
Fax: (501) 205-1776
Type: Location
3336 S PARNELL AVE
CHICAGO, IL 606163518
Phone: (312) 560-5795
Type: Mailing
4301 W MARKHAM ST # 500
LITTLE ROCK, AR 722057101
Phone: (501) 296-1165
Type: Location
2 SAINT VINCENT CIR
LITTLE ROCK, AR 722055423
Phone: (501) 224-1690
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-05-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240508001406 | I | Neurology | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 72034)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | AR | |
| - | AR | |
| Family Practice, Emergency Medicine, General Practice | GA | |
| Nurse Practitioner | AR | |
| Certified Registered Nurse Anesthetist (Crna) | AR | |
| Family Practice | AR | |
| Certified Registered Nurse Anesthetist (Crna) | AR | |
| Certified Registered Nurse Anesthetist (Crna) | AR | |
| Internal Medicine | AR | |
| General Surgery | AR |
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