Organization Active NPI

Arkansas Urology, P.a.

  • Urology Physician
  • Little Rock, AR
National Provider Identifier
1093720443
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ARKANSAS UROLOGY, P.A.
Practice address
1300 Centerview Dr
Little Rock, AR 72211-4349
Phone
(501) 219-8900
Fax
(501) 537-1875
NPI assigned
Jul 31, 2006
Last updated
Nov 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Denise Lynn Belford
Title
Director Revenue Cycle Management
Phone
(501) 219-8900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X 1117630001 AR

Addresses

Primary practice location

1300 Centerview Dr
Little Rock, AR 72211-4349

Mailing address

1300 Centerview Dr
Little Rock, AR 72211-4349
Phone (501) 219-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040306000102 AR Part B Supplier - Clinic/Group Practice 4082502547 Receives reassigned benefits from 42 practitioners
Practice locations: Russellville, AR; White Hall, AR; North Little Rock, AR; Little Rock, AR; El Dorado, AR; Conway, AR; Bentonville, AR; Benton, AR
O20100930015771 AR DME Supplier - Physician - Urology 4082502547 Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

619 N Newton Ave
El Dorado, AR 71730
Phone (870) 862-5439

4 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 296-3273

9500 Kanis Rd
Little Rock, AR 72205
Phone (501) 202-4244

3401 Springhill Dr
North Little Rock, AR 72117
Phone (501) 329-4741

2504 W Main St
Ste A
Russellville, AR 72801
Phone (479) 964-3278

7211 Dollarway Rd
White Hall, AR 71602
Phone (501) 225-0410

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10448/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1093720443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CENTERVIEW DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114349",
            "telephone_number": "501-219-8900",
            "fax_number": "501-537-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CENTERVIEW DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114349",
            "telephone_number": "501-219-8900",
            "fax_number": "501-537-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS UROLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "BELFORD",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "501-219-8900"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "1117630001",
            "primary": false
        }
    ],
    "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 Nov 11, 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.