Individual provider Active NPI

Robert R Camferdam, M.D.

  • Nephrology Physician
  • Searcy, AR
National Provider Identifier
1053529321
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
E6250 Issued in AR
Practice address
403 S Poplar St Ste D
Searcy, AR 72143-6000
Phone
(501) 279-7077
Fax
(501) 279-3970
NPI assigned
May 19, 2007
Last updated
Apr 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E6250 AR
Nephrology Physician 207RN0300X E6250 AR Primary

Addresses

Primary practice location

403 S Poplar St Ste D
Searcy, AR 72143-6000

Mailing address

PO Box 17930
Little Rock, AR 72222-7930
Phone (501) 663-0490

Other identifiers 1

IdentifierTypeStateIssuer
186511001MedicaidAR

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
I20110216000291 AR Practitioner - Nephrology 8527248004 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
White County Medical CenterGroup PAC ID 4880688654, 182 clinicians
Central Arkansas Physician Group PLLCGroup PAC ID 3779070065, 12 clinicians
Nephrology Associates PAGroup PAC ID 1557342334, 12 clinicians

Practice addresses (Care Compare)

2902 E Race Ave
Unity Health After Hours Medical Clinic
Searcy, AR 72143-4806
Phone (501) 268-5433

3214 E Race Ave
Searcy, AR 72143-4810

403 S Poplar St
Suite D
Searcy, AR 72143-6000
Phone (501) 279-7077

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E6250ARMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White County Medical Center Current Accepting new patients
White County Medical Center CurrentSince Dec 1, 2012 Accepting new patients
Central Arkansas Physician Group PLLC Internal Medicine CurrentSince Oct 9, 2025 Accepting new patients
Arkansas Health Group Current Accepting new patients
Inpatient Solutions Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Nephrology Associates PA Nephrology CurrentSince Mar 11, 2013 Accepting new patients
Clements Wellness Center Inc PastSince Mar 11, 2013 Accepting new patients
Pope Physician Services LLC Past Accepting new patients

Locations

5 Medical Park Dr
Ste 304
Benton, AR 72015
Phone (501) 408-2429

2 Lile Ct
Ste 102B
Little Rock, AR 72205
Phone (501) 221-3123

8907 Kanis Rd
Ste 330
Little Rock, AR 72205
Phone (501) 224-8810

1400 Braden St
Little Rock AFB, AR 72076
Phone (501) 380-3172

3401 Springhill Dr
Ste 325
North Little Rock, AR 72117
Phone (501) 955-0320

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

3214 E Race Ave
Searcy, AR 72143
Phone (501) 268-6121

3214 E Race Ave
Fl 2
Searcy, AR 72143
Phone (501) 230-6643

711 Santa Fe Dr
Searcy, AR 72143
Phone (501) 279-9393

Organizations & group practices 8

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 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1053529321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17930",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722227930",
            "telephone_number": "501-663-0490",
            "fax_number": "501-663-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S POPLAR ST STE D",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436000",
            "telephone_number": "501-279-7077",
            "fax_number": "501-279-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMFERDAM",
        "first_name": "ROBERT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-19",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E6250",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AR",
            "license": "E6250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186511001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.