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

Individual provider Neurology Physician · NPI 1588079560

Pradeep Reddy Kumbham, MD is a Neurology in Fort Smith, Arkansas. Qualified in 2004, 22 years ago. Practices with Mercy Health Northwest Arkansas Communities, a 316-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
22
Licensed in
AR
In the registry since
2014
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

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone: (479) 314-5175
Fax: (479) 314-3185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence E-11390 (AR)

Record details

NPI number1588079560
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2014
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022
Mailing address7301 Rogers Ave, Fort Smith, AR 72903-4100

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Also practisesNEUROPSYCHIATRY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Mercy Health Northwest Arkansas Communities — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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