Active NPI
Mahesh Bavineni, MD
- Internal Medicine Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- T2016-106
- Practice address
- 4301 W Markham St
Little Rock, AR 72205-7101 - Phone
- (501) 296-1134
- NPI assigned
- May 16, 2013
- Last updated
- Jul 29, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | T2016-106 | AR | Primary |
Addresses
Primary practice location
4301 W Markham St
Little Rock, AR 72205-7101
Mailing address
4301 W Markham St
Little Rock, AR 72205-7101
Phone (501) 296-1134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7 Shackleford W Blvd
Little Rock, AR 72211-3886
Phone (501) 664-5860
Hospital & facility affiliations
- Arkansas Heart Hospital, LLC
- Arkansas Heart Hospital-Encore
- Jefferson Regional Medical Center
- University of Arkansas Medical Sciences
- Baptist Health Medical Center-Little Rock
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T2016-106 | AR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Heart Hospital Rural Health Services, LLC | Current | Accepting new patients | |
| Arkansas Heart Hospital, LLC | Current | Accepting new patients | |
| Baptist Health | Current | Accepting new patients | |
| Arkansas Heart Hospital, LLC | Current | Accepting new patients | |
| Baptist Health | Current | Accepting new patients | |
| Arkansas Health Group | Internal Medicine | Current | Accepting new patients |
| Arkansas Health Group | Current | Accepting new patients |
Locations
1901 Encore Way
Bryant, AR 72019
Phone (501) 213-4500
430 Magnolia Rd
Camden, AR 71701
Phone (870) 836-4709
605 Dave Ward Dr
Ste 105
Conway, AR 72034
Phone (501) 504-6270
149 Section Line Rd
Ste A
Hot Springs, AR 71913
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680
7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671
9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995
9601 Interstate 630
Little Rock, AR 72205
Phone (501) 202-2300
9601 Interstate 630
#7
Little Rock, AR 72205
Phone (501) 202-3995
1701 Club Manor Dr
#2B
Maumelle, AR 72113
1701 Club Manor Dr
Ste 2B
North Little Rock, AR 72113
Phone (501) 349-7094
3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000
205 E Race Ave
Searcy, AR 72143
Phone (501) 279-9000
Networks
- MS PPO
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- MS PPO C-SNP
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- MS PPO D-SNP
- TN PPO
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1548553811
-
dba Arkansas Heart Hospital Clinic
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1558653212
-
dba Internal Medicine Associates of North Little Rock
- Internal Medicine Physician
- Maumelle, AR
- NPI 1932118890
-
dba BMC Physician Clinic
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1578593067
-
dba Baptist Health Surgical Clinic-Stuttgart
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
-
dba Arkansas Heart Hospital Encore
- General Acute Care Hospital
- Bryant, AR
- NPI 1841898293
-
dba BH Cancer Center - Heber Springs
- Multi-Specialty Clinic/Center
- Heber Springs, AR
- NPI 1932081221
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Arkansas Heart Hospital Clinic
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1558653212
Hospital
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1790775229
-
dba Arkansas Heart Hospital Encore
- General Acute Care Hospital
- Bryant, AR
- NPI 1841898293
-
dba Baptist Health Medical Center-Little Rock
- General Acute Care Hospital
- Little Rock, AR
- NPI 1043240682
-
dba Jefferson Regional Medical Center
- General Acute Care Hospital
- Pine Bluff, AR
- NPI 1710931985
-
dba The University Hospital of Arkansas
- General Acute Care Hospital
- Little Rock, AR
- NPI 1477549756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469750400000",
"number": "1013353150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-296-1134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-296-1134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAVINENI",
"first_name": "MAHESH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-16",
"last_updated": "2016-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "T2016-106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.