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

Dr. Shamsul Alam, MD

Individual provider Nephrology Physician · NPI 1912953373

Dr. Shamsul Alam, MD is a Nephrology in Bentonville, Arkansas. Qualified in 1985, 41 years ago. Practices with Shamsul Alam MD PA, a 2-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
41
Licensed in
AR
In the registry since
2006
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

2618 SE J St Ste # 2 & 4
Bentonville, AR 72712-3767
Phone: (479) 271-9393
Fax: (479) 271-0141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence E4954 (AR)

Record details

NPI number1912953373
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2006
Last updated in NPPESSeptember 28, 2015
Mailing address11149 Cobblestone, Bentonville, AR 72712-7379

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Shamsul Alam Md Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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