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

Mohammad Idris, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407086200

Mohammad Idris, MD is a Family Practice in Van Buren, Arkansas. Qualified in 2002, 24 years ago. Accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
24
Licensed in
AR
In the registry since
2009
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

14 Gothic Ridge Rd
Van Buren, AR 72956-6565
Phone: (479) 471-0011
Fax: (479) 471-1960
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence E7605 (AR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407086200
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 15, 2009
Last updated in NPPESSeptember 13, 2012
Mailing addressPo Box 405981, Atlanta, GA 30384-5981

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Van Buren