Organization Active NPI

Duane Birky MD PA

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Little Rock, AR
National Provider Identifier
1053153247
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
Legal business name
DUANE BIRKY MD PA
Practice address
24 Maisons Dr.
Little Rock, AR 72223-9017
Phone
(479) 883-7079
Fax
(501) 448-2021
NPI assigned
Jun 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Duane Lewis Birky, M.D.NPI 1710974647
Title
Neurologist
Phone
(479) 883-7079

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)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084S0012X Primary

Addresses

Primary practice location

24 Maisons Dr.
Little Rock, AR 72223-9017

Mailing address

24 Maisons Dr.
Little Rock, AR 72223-9017
Phone (479) 883-7079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260411000075 AR Part B Supplier - Clinic/Group Practice 5092280693 Receives reassigned benefits from 1 practitioner
Practice locations: Camden, AR

National Provider Directory

National Provider Directory

Locations

415 Hospital Dr
Ste 1
Camden, AR 71701

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1053153247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MAISONS DR.",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722239017",
            "telephone_number": "479-883-7079",
            "fax_number": "501-448-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MAISONS DR.",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722239017",
            "telephone_number": "479-883-7079",
            "fax_number": "501-448-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUANE BIRKY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "BIRKY",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "479-883-7079",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "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 Jun 10, 2024; 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.

Verify at the official NPI Registry.