Individual provider Active NPI

Alina Mielnick, MD

  • Urology Physician
  • Mena, AR
National Provider Identifier
1093886822
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
R4110 Issued in AR
Practice address
601 BD Hwy 71 N
Mena, AR 71953
Phone
(479) 394-1861
Fax
(479) 394-1322
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X R4110 AR Primary

Addresses

Primary practice location

601 BD Hwy 71 N
Mena, AR 71953

Mailing address

601 BD Hwy 71 N
Mena, AR 71953
Phone (479) 394-1861

Other identifiers 2

IdentifierTypeStateIssuer
04D0891056OtherARAR LIC #R4110
118355001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R4110ARMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alina Mielnick, MD, PA Urology Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1093886822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BD HWY 71 N",
            "city": "MENA",
            "state": "AR",
            "postal_code": "71953",
            "telephone_number": "479-394-1861",
            "fax_number": "479-394-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BD HWY 71 N",
            "city": "MENA",
            "state": "AR",
            "postal_code": "71953",
            "telephone_number": "479-394-1861",
            "fax_number": "479-394-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIELNICK",
        "first_name": "ALINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AR",
            "license": "R4110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR LIC #R4110",
            "identifier": "04D0891056",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118355001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mena, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.