Active NPI
Arkansas Vein Care Clinics PLLC
- Internal Medicine Physician
- Conway, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ARKANSAS VEIN CARE CLINICS PLLC
- Practice address
- 816 1St Ave
Conway, AR 72032-5716 - Phone
- (501) 487-2002
- NPI assigned
- Oct 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khalid Rayaz
- Title
- Owner
- Phone
- (501) 487-2002
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
816 1St Ave
Conway, AR 72032-5716
Mailing address
816 1St Ave
Conway, AR 72032-5716
Phone (501) 487-2002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231031003881 | AR | Part B Supplier - Clinic/Group Practice | 4385090026 |
Receives reassigned benefits from 2 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Conway, AR; Russellville, AR; Sherwood, AR; White Hall, AR |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Internal Medicine Physician
- Russellville, AR
- NPI 1508654070
O20231031003881
-
- Internal Medicine Physician
- Sherwood, AR
- NPI 1518748367
O20231031003881
-
- Internal Medicine Physician
- White Hall, AR
- NPI 1942184353
O20231031003881
National Provider Directory
National Provider Directory- Tax ID family
- Arkansas Vein Care Clin LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Russellville, AR
- NPI 1508654070
-
- Internal Medicine Physician
- Sherwood, AR
- NPI 1518748367
-
- Internal Medicine Physician
- White Hall, AR
- NPI 1942184353
Locations
1600 W C Pl
Russellville, AR 72801
Phone (479) 967-7717
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- Little Rock, AR
- NPI 1831580018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760572800000",
"number": "1033085899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 1ST AVE",
"city": "CONWAY",
"state": "AR",
"postal_code": "720325716",
"telephone_number": "501-487-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 1ST AVE",
"city": "CONWAY",
"state": "AR",
"postal_code": "720325716",
"telephone_number": "501-487-2002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARKANSAS VEIN CARE CLINICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-16",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A",
"authorized_official_last_name": "RAYAZ",
"authorized_official_first_name": "KHALID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-487-2002"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.