NPIMap

Individual provider Active NPI

Ali Krisht, MD

  • Neurological Surgery Physician
  • Sherwood, AR
National Provider Identifier
1043300528
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
E-0109 Issued in AR
Practice address
6020 Warden Rd Ste 100
Sherwood, AR 72120-6068
Phone
(501) 552-6400
Fax
(501) 552-6448
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X E-0109 AR Primary

Addresses

Primary practice location

6020 Warden Rd Ste 100
Sherwood, AR 72120-6068

Mailing address

6020 Warden Rd Ste 100
Sherwood, AR 72120-6068
Phone (501) 552-6400

Other identifiers 3

IdentifierTypeStateIssuer
140004608OtherARRAILROAD MEDICARE
125669001MedicaidAR
140002920OtherARRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100330001307 AR Practitioner - Neurosurgery 0648306563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical GroupGroup PAC ID 5698758803, 237 clinicians

Practice addresses (Care Compare)

2 Saint Vincent Cir
Little Rock, AR 72205-5423
Phone (501) 552-4666

2215 Wildwood Ave
Sherwood, AR 72120-5089
Phone (501) 552-7100

6020 Warden Rd
Suite 100
Sherwood, AR 72120-6015
Phone (501) 552-6400

7709 Hwy 107
Sherwood, AR 72120-4661
Phone (501) 552-7269

Hospital & facility affiliations

  • St Vincent Medical Center/North Hospital, Sherwood, AR, CCN 040137
  • CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007
  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029
  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801
  • White County Medical Center Hospital, Searcy, AR, CCN 040014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-0109ARMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group Neurological Surgery CurrentSince Nov 22, 2009 Accepting new patients
Ozarks Medical Center Past Accepting new patients
St Vincent Physician Clinics LLC Past Accepting new patients

Locations

5 Saint Vincent Cir
Ste 503
Little Rock, AR 72205
Phone (501) 552-6412

16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

5125 Northshore Dr
North Little Rock, AR 72118

6020 Warden Rd
Ste 200
Sherwood, AR 72120

6020 Warden Rd
Ste 100
Sherwood, AR 72120
Phone (501) 552-6400

Interoperability endpoints

  • Direct secure messaging: akrisht457272@direct.stlukeshealth.org

Organizations & group practices 3

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 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1043300528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 WARDEN RD STE 100",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721206068",
            "telephone_number": "501-552-6400",
            "fax_number": "501-552-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 WARDEN RD STE 100",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721206068",
            "telephone_number": "501-552-6400",
            "fax_number": "501-552-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHT",
        "first_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AR",
            "license": "E-0109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "140004608",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125669001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "140002920",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, AR

Sources for this page

Verify at the official NPI Registry.