Active NPI
Hanan Khadam-Makhoul, M.D., P.a.
Doing business as Arkansas Pulmonary Clinic
- Pulmonary Disease Physician
- Little Rock, AR
National Provider Identifier
1053774760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- HANAN KHADAM-MAKHOUL, M.D., P.A.
- Doing business as
- Arkansas Pulmonary Clinic
- Practice address
- 9601 Baptist Health Dr
560
Little Rock, AR 72205-6321 - Phone
- (501) 225-6602
- NPI assigned
- Mar 30, 2016
- 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
- Dr. Hanan Makhoul, M.D.
- Title
- Owner
- Phone
- (501) 225-6602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
9601 Baptist Health Dr
560
Little Rock, AR 72205-6321
Mailing address
9601 Baptist Health Dr
560
Little Rock, AR 72205-6321
Phone (501) 225-6602
Other names 1
- Arkansas Pulmonary Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2113337 | Arkansas Pulmonary Clinic | Certificate of waiver | May 18, 2028 |
National Provider Directory
National Provider DirectoryLocations
9601 Baptist Health Dr
Ste 560
Little Rock, AR 72205
Phone (501) 225-6602
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Little Rock, AR
- NPI 1184838369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460592000000",
"number": "1053774760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9601 BAPTIST HEALTH DR",
"address_2": "560",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056321",
"telephone_number": "501-225-6602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 BAPTIST HEALTH DR",
"address_2": "560",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056321",
"telephone_number": "501-225-6602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANAN KHADAM-MAKHOUL, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-30",
"last_updated": "2016-04-14",
"status": "A",
"authorized_official_last_name": "MAKHOUL",
"authorized_official_first_name": "HANAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-225-6602",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Arkansas Pulmonary Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.