NPIMap

Individual provider Active NPI

Shirisha Ale, MBBS

  • Internal Medicine Physician
  • North Little Rock, AR
National Provider Identifier
1124509997
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E-14538 Issued in AR
Practice address
3201 Springhill Dr Ste 100
North Little Rock, AR 72117-2905
Phone
(501) 955-4530
Fax
(501) 955-4540
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-14538 AR Primary

Addresses

Primary practice location

3201 Springhill Dr Ste 100
North Little Rock, AR 72117-2905

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 955-4530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210902001632 AR Practitioner - Internal Medicine 8022414853 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Jul 9, 2021 Accepting new patients
Conway Regional Medical Center Inc Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
University of Arkansas for Medical Sciences Internal Medicine Current Accepting new patients
Conway Regional Medical Center, Inc. CurrentSince Aug 1, 2024 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 9, 2021 Accepting new patients
Conway Regional Medical Center Inc Current Accepting new patients

Locations

2302 College Ave
Ste 100
Conway, AR 72034
Phone (501) 513-5385

2302 College Ave
Conway, AR 72034
Phone (501) 329-3831

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

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

Organizations & group practices 7

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 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Regional Medical Center Inc 129 clinicians

Practice addresses (Care Compare)

2302 College Ave
Suite 100
Conway, AR 72034-6297
Phone (501) 513-5385

Hospital & facility affiliations

  • Arkansas Hospice Inc Hospice, North Little Rock, AR, CCN 041564
  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029
  • Johnson Regional Medical Center Hospital, Clarksville, AR, CCN 040002
  • Dardanelle Regional Medical Center Hospital, Dardanelle, AR, CCN 041302
  • Ozark Health Hospital, Clinton, AR, CCN 041313
  • CHI St Vincent Morrilton Hospital, Morrilton, AR, CCN 041324

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1124509997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114393",
            "telephone_number": "501-955-4530",
            "fax_number": "501-955-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 SPRINGHILL DR STE 100",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172905",
            "telephone_number": "501-955-4530",
            "fax_number": "501-955-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALE",
        "first_name": "SHIRISHA",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-14538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.