Individual provider Active NPI

Ioannis Papayannis, M.D.

  • Gastroenterology Physician
  • Pine Bluff, AR
National Provider Identifier
1013250554
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
320796 Issued in LA
Practice address
4800 S Hazel St
Pine Bluff, AR 71603-6860
Phone
(870) 534-5533
Fax
(870) 534-5535
NPI assigned
Apr 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 320796 LA Primary

Addresses

Primary practice location

4800 S Hazel St
Pine Bluff, AR 71603-6860

Mailing address

PO Box 33932
Shreveport, LA 71130-3932
Phone (318) 675-5982

Other practice location 1

Department Of Medicine
HSC Level 16-020, SUNY
Stony Brook, NY 11794-0001
Phone (631) 444-7411

Other practice location 2

1501 Kings Highway
Department of Medicine/Gastroenterology
Shreveport, LA 71103-0001
Phone (318) 675-5982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AR, MI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190928000146 LA Practitioner - Internal MedicinePractitioner - Gastroenterology 3173853405 Reassigns benefits to 1 organization
I20231206003968 AR Practitioner - Internal MedicinePractitioner - Gastroenterology 3173853405 Reassigns benefits to 3 organizations
I20240226000986 MI Practitioner - Internal MedicinePractitioner - Gastroenterology 3173853405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conway Regional Medical Center IncGroup PAC ID 3173428414, 129 clinicians
Pinnacle Gastroenterology Associates PLLCGroup PAC ID 8921524455, 5 clinicians
Digestive Care P aGroup PAC ID 7810011905, 4 clinicians

Practice addresses (Care Compare)

2200 Ada Ave
Suite 201
Conway, AR 72034-4984
Phone (501) 852-1360

409 N University Ave
Little Rock, AR 72205-3108
Phone (501) 246-4561

4800 S Hazel St
Pine Bluff, AR 71603-6860
Phone (870) 534-5533

Hospital & facility affiliations

  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029
  • Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy443
Laminectomy or laminotomy (partial removal of spine bones)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
320796LAMDGastroenterology Physician

Practice roles (9 of 16)

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice CurrentSince Sep 1, 2019 Accepting new patients
McLaren Northern Michigan CurrentSince Dec 31, 2023 Accepting new patients
McLaren Northern Michigan CurrentSince Dec 31, 2023 Accepting new patients
Conway Regional Medical Center Inc CurrentSince Jun 1, 2024 Accepting new patients
Conway Regional Medical Center, Inc. Current Accepting new patients
Digestive Care PA Gastroenterology CurrentSince Oct 22, 2023 Accepting new patients
Conway Regional Medical Center, Inc Gastroenterology CurrentSince Jun 1, 2024 Accepting new patients
Digestive Care P a Gastroenterology CurrentSince Oct 22, 2023 Accepting new patients
Pinnacle Gastroenterology Associates PLLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

2200 Ada Ave
Ste 201
Conway, AR 72034
Phone (501) 852-1360

14918 Cantrell Rd
Little Rock, AR 72223
Phone (501) 663-4747

409 N University Ave
Little Rock, AR 72205
Phone (501) 246-4561

4800 S Hazel St
Pine Bluff, AR 71603
Phone (870) 534-5533

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

Networks

  • MS PPO C-SNP
  • MS PPO
  • MS PPO D-SNP
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • TN PPO
  • TN PPO C-SNP
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ICHBDD/Endpoint/ICHBDD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1013250554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33932",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711303932",
            "telephone_number": "318-675-5982",
            "fax_number": "318-675-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S HAZEL ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036860",
            "telephone_number": "870-534-5533",
            "fax_number": "870-534-5535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Department Of Medicine",
            "address_2": "HSC Level 16-020, SUNY",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117940001",
            "country_code": "US",
            "telephone_number": "631-444-7411",
            "fax_number": "631-444-2493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Kings Highway",
            "address_2": "Department of Medicine/Gastroenterology",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711030001",
            "country_code": "US",
            "telephone_number": "318-675-5982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPAYANNIS",
        "first_name": "IOANNIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "320796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.