Individual provider Active NPI

Nicholas D Tingquist, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Little Rock, AR
National Provider Identifier
1083009252
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
E-16781 Issued in AR
Practice address
521 Jack Stephens Dr
Little Rock, AR 72205-5524
Phone
(501) 296-1200
Fax
(501) 686-7861
NPI assigned
Apr 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X E-16781 AR
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X E-16781 AR Primary

Addresses

Primary practice location

521 Jack Stephens Dr
Little Rock, AR 72205-5524

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 1

4301 W Markham St # 725
Little Rock, AR 72205-7101
Phone (501) 296-1200

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
I20230922001136 AR Practitioner - General Surgery 7315253044 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Arkansas College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Arkansas for Medical SciencesGroup PAC ID 4082528955, 1,159 clinicians
Baptist HealthGroup PAC ID 0648177949, 106 clinicians

Practice addresses (Care Compare)

4301 W Markam St
Little Rock, AR 72205-7101
Phone (501) 686-8000

9500 Kanis Rd
Little Rock, AR 72205-6324
Phone (501) 202-4715

Hospital & facility affiliations

  • University of Arkansas Medical Sciences Hospital, Little Rock, AR, CCN 040016
  • Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux65
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-16781ARMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Sep 1, 2023 Accepting new patients
Baptist Health CurrentSince Apr 1, 2024 Accepting new patients
Baptist Health CurrentSince Apr 1, 2024 Accepting new patients
University of Arkansas for Medical Sciences Surgery Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Sep 1, 2023 Accepting new patients
Arkansas Childrens Hospital Past Accepting new patients
Arkansas Childrens Hospital Past Accepting new patients

Locations

9500 Kanis Rd
Ste 500
Little Rock, AR 72205
Phone (501) 202-4715

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

4301 W Markham St
#725
Little Rock, AR 72205
Phone (501) 296-1200

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

521 Jack Stephens Dr
Little Rock, AR 72205
Phone (501) 296-1200

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

4301 W Markham St
#520
Little Rock, AR 72205
Phone (501) 686-5205

104 W Taylor St
Sparkman, AR 71763
Phone (870) 678-2226

Interoperability endpoints

  • Direct secure messaging: ntingquist697615@direct.baptist-healthar.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1083009252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 JACK STEPHENS DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055524",
            "telephone_number": "501-296-1200",
            "fax_number": "501-686-7861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 725",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-296-1200",
            "fax_number": "501-686-7861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TINGQUIST",
        "first_name": "NICHOLAS",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-16781",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AR",
            "license": "E-16781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.