Individual provider Active NPI

Noadia Worku, D.O

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Monticello, AR
National Provider Identifier
1053601575
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
E-9360 Issued in AR
Practice address
1222 Old Warren Rd Ste C
Monticello, AR 71655-5041
Phone
(870) 224-4545
Fax
(866) 809-4272
NPI assigned
Apr 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X E-9360 AR Primary

Addresses

Primary practice location

1222 Old Warren Rd Ste C
Monticello, AR 71655-5041

Mailing address

PO Box 510
Monticello, AR 71657-0510
Phone (870) 224-4545

Other practice location 1

8608 Dollarway Rd
Suite B
White Hall, AR 71602-2814
Phone (501) 773-6993

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
I20151125000319 AR Practitioner - Internal MedicinePractitioner - Physical Medicine and Rehabilitation 3173823044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Physical Medicine and Rehabilitation
Education
Rowan University School of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 N Slemons St
Monticello, AR 71655-4326
Phone 8702244545000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.16 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-9360ARMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pain Care PA CurrentSince Aug 21, 2018 Accepting new patients

Locations

1222 Old Warren Rd
Ste C
Monticello, AR 71655
Phone (870) 224-4545

201 N Slemons St
Monticello, AR 71655
Phone (870) 224-4545

Organizations & group practices 1

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 4

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": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1053601575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716570510",
            "telephone_number": "870-224-4545",
            "fax_number": "866-809-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 OLD WARREN RD STE C",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555041",
            "telephone_number": "870-224-4545",
            "fax_number": "866-809-4272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8608 Dollarway Rd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "White Hall",
            "state": "AR",
            "postal_code": "716022814",
            "country_code": "US",
            "telephone_number": "501-773-6993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORKU",
        "first_name": "NOADIA",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-18",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AR",
            "license": "E-9360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, AR

Sources for this page

Verify at the official NPI Registry.