Peach State Medical Practice, PC
NPI 1013647569 · Reproductive Endocrinology Physician · Rogers, AR
Peach State Medical Practice, PC is a Reproductive Endocrinology Physician organization in Rogers, AR (NPI 1013647569).
Provider details
- NPI number
- 1013647569
- Entity type
- Organization
- Primary specialty
- Reproductive Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Fahimeh Sasan, Founding Obgyn(855) 563-2639
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Kindbody of Ak Medical Practice, PC
- Doing business as
- Kindbody of Ak Medical Practice, PC
Registry dates
- Enumerated
- 2022-06-15
- Last updated
- 2024-05-20
- Certified
- 2024-05-20
Frequently asked questions
- What is Peach State Medical Practice, PC's NPI number?
- Peach State Medical Practice, PC's National Provider Identifier (NPI) is 1013647569, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peach State Medical Practice, PC?
- Peach State Medical Practice, PC is classified in the NPPES registry as Reproductive Endocrinology Physician (Allopathic & Osteopathic Physicians).
- Where is Peach State Medical Practice, PC located?
- Peach State Medical Practice, PC's practice location on file with NPPES is 2203 S Promenade Blvd Ste 5185, Rogers, AR 72758-8722.
- What is Peach State Medical Practice, PC's phone number?
- The practice phone number listed in the NPPES registry for Peach State Medical Practice, PC is (855) 563-2639.
- Who is the authorized official for Peach State Medical Practice, PC?
- The authorized official listed on Peach State Medical Practice, PC's NPPES record is Fahimeh Sasan, Founding Obgyn. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peach State Medical Practice, PC's NPI active?
- Yes — Peach State Medical Practice, PC's NPI (1013647569) is active in the NPPES registry as of the last update on 2024-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.