Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. John Albert Makram Salama Fanous, MD

Individual provider Pulmonary Disease Physician · NPI 1134605108

Dr. John Albert Makram Salama Fanous, MD is a Pulmonary Disease in Little Rock, Arkansas. Qualified in 2012, 14 years ago. Practices with St Vincent Medical Group, a 247-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
14
Licensed in
AR
In the registry since
2018
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

10001 Lile Dr
Little Rock, AR 72205-6217
Phone: (501) 552-0500
Fax: (501) 552-5339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence E-17546 (AR)

Record details

NPI number1134605108
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2018
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice St Vincent Medical Group — 247 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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