Individual provider Active NPI

Stephen Humbard, MD

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1093916256
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-5932 Issued in AR
Practice address
28 Rahling Circle
Suite 2
Little Rock, AR 72223-9187
Phone
(501) 448-2510
Fax
(501) 448-2514
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-5932 AR Primary
Student in an Organized Health Care Education/Training Program 390200000X AR

Addresses

Primary practice location

28 Rahling Circle
Suite 2
Little Rock, AR 72223-9187

Mailing address

28 Rahling Circle
Suite 2
Little Rock, AR 72223-9187
Phone (501) 448-2510

Other identifiers 1

IdentifierTypeStateIssuer
179049001MedicaidAR

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
I20090902000588 AR Practitioner - Family Practice 1052466604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

28 Rahling Cir
Suite 2
Little Rock, AR 72223-8050
Phone (501) 448-2510

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen a Humbard MD PA Family Medicine CurrentSince Apr 12, 2014 Accepting new patients

Locations

28 Rahling Cir
Ste 2
Little Rock, AR 72223
Phone (501) 448-2510

5125 Northshore Dr
North Little Rock, AR 72118

Interoperability endpoints

  • Direct secure messaging: stephen.humbard.1@12598.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACIHDD/Endpoint/ACIHDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACIHDD
  • FHIR API: https://api.platform.athenahealth.com/12598/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1093916256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 RAHLING CIRCLE",
            "address_2": "SUITE 2",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722239187",
            "telephone_number": "501-448-2510",
            "fax_number": "501-448-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 RAHLING CIRCLE",
            "address_2": "SUITE 2",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722239187",
            "telephone_number": "501-448-2510",
            "fax_number": "501-448-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMBARD",
        "first_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-5932",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179049001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.