JABBAR JOSHUA – Family Medicine Physician, NPI 1164556460

JABBAR JOSHUA is a healthcare provider. based in Jacksonville, Arkansas. specializing in EMERGENCY MEDICINE, EMERGENCY MEDICINE, FAMILY PRACTICE. They hold a License No. E-5064 (AR). The NPI Number for JABBAR JOSHUA is 1164556460

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
JABBAR JOSHUA
NPI
1164556460
Phone
(501) 985-7000
Address
1400 BRADEN ST
Enumeration Date
16 March 2007
Last Update Date
22 December 2020

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
6184393161
Graduation Year
2004 (22 years ago)
PAC ID
9234223231
Group Practice PAC ID
7113167446
Professional Enrollment ID
I20251224002592
Address ID
IL628121969BE201XXLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

557 EMERGENCY MEDICINE in AR

Provider Addresses for JABBAR JOSHUA

  • 1400 BRADEN ST

    JACKSONVILLE, AR 720763721

    Phone: (501) 985-7000

    Fax: (501) 985-7326

    Type: Mailing

  • 609 Innsbrooke Cv

    Jacksonville, AR 72076

    Phone: (903) 280-4623

    Type: Location

  • 609 INNSBROOKE CV

    JACKSONVILLE, AR 720763680

    Phone: (501) 903-4623

    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: 2025-12-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070928000632IFamily PracticeARTBD
I20250331002926IEmergency MedicineKYTBD
I20250717000007IFamily PracticeVTTBD
I20251224002592IFamily PracticeILTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making9592$0
99285Emergency department visit with high level of medical decision making9592$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4341$0
99283Emergency department visit with low level of medical decision making3030$0
99238Hospital discharge day management, 30 minutes or less2222$0
View full utilization report →

Insurance plans in this area (ZIP 72076)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113167446View full group profile
NameSpecialtyState
Emergency MedicineNY
-IL
Emergency MedicinePA
Emergency MedicineIL
Emergency Medicine, Internal MedicineFL
-IL
-IL
Emergency Medicine, HospitalistIL
Emergency MedicineGA
Emergency MedicineNY

Reviews

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Frequently asked questions

What is the standard ID for JABBAR JOSHUA in the U.S.?
In the U.S., JABBAR JOSHUA is identified by NPI 1164556460.
Is JABBAR JOSHUA's NPI status active today?
Active status means JABBAR JOSHUA's NPI record is not deactivated in the public file.
How should patients interpret JABBAR JOSHUA's specialty?
The extract shows Family Medicine Physician for JABBAR JOSHUA. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JABBAR JOSHUA?
JABBAR JOSHUA is associated with Jacksonville, Arkansas in the same public data insurers reference.
Can I export JABBAR JOSHUA's record?
You can download the official NPPES record; we summarize key fields for readability.

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