Individual provider Active NPI

Mahesh Bavineni, MD

  • Internal Medicine Physician
  • Little Rock, AR
National Provider Identifier
1013353150
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T2016-106 Issued in AR
Practice address
4301 W Markham St
Little Rock, AR 72205-7101
Phone
(501) 296-1134
NPI assigned
May 16, 2013
Last updated
Jul 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161011002413 AR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6800184615 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Heart Hospital LLCGroup PAC ID 6002838653, 85 clinicians
Arkansas Heart Hospital Rural Health Services, LLCGroup PAC ID 6204004815, 52 clinicians

Practice addresses (Care Compare)

7 Shackleford W Blvd
Little Rock, AR 72211-3886
Phone (501) 664-5860

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T2016-106ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Heart Hospital Rural Health Services, LLC CurrentSince Jul 1, 2022 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Jul 1, 2022 Accepting new patients
Baptist Health CurrentSince Jan 13, 2020 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Jul 1, 2022 Accepting new patients
Baptist Health CurrentSince Jan 13, 2020 Accepting new patients
Arkansas Health Group Internal Medicine CurrentSince Nov 15, 2019 Accepting new patients
Arkansas Health Group CurrentSince Nov 15, 2019 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.