Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Dimitry A. Fomin, MD

Individual provider Neurology Physician · NPI 1831171263

Dr. Dimitry A. Fomin, MD is a Neurology in Rogers, Arkansas. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 1992, 34 years ago. Practices with Mercy Health Northwest Arkansas Communities, a 316-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arkansas.

Years since qualifying
34
Trained at
Uniformed Services Uhs Fe Hebert School of Med
Licensed in
AR
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2708 Rife Medical Ln Ste 200
Rogers, AR 72758-1452
Phone: (479) 338-3720
Fax: (479) 338-3749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sleep Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0012X · Licence E5557 (AR)
Neurology Physician Taxonomy 2084N0400X · Licence E5557 (AR)

Record details

NPI number1831171263
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 21, 2005
Last updated in NPPESOctober 31, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Also practisesSLEEP MEDICINE
Medical schoolUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated 1992 (34 years in practice)
Group practice Mercy Health Northwest Arkansas Communities — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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