NPIMap

Individual provider Active NPI

Kristin Mitchell Dishongh, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Little Rock, AR
National Provider Identifier
1144463209
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
E-7890 Issued in AR
Practice address
1000 N University Ave
Little Rock, AR 72207-6347
Phone
(501) 663-4116
Fax
(501) 663-4301
NPI assigned
Apr 19, 2009
Last updated
Jun 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X E-7890 AR Primary

Addresses

Primary practice location

1000 N University Ave
Little Rock, AR 72207-6347

Mailing address

1000 N University Ave
Little Rock, AR 72207-6347
Phone (501) 663-4116

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
I20130727000167 AR Practitioner - Pathology 5799926184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Pathology Associates PAGroup PAC ID 8921905589, 10 clinicians

Practice addresses (Care Compare)

1000 N University Ave
Little Rock, AR 72207-6347
Phone (501) 663-4116

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Pathology Associates PA Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2014 Accepting new patients
Infectious Disease Resource Group LLP PastSince Apr 15, 1999 Accepting new patients

Locations

300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000

1 Saint Vincent Cir
Ste 160
Little Rock, AR 72205
Phone (501) 661-0037

1000 N University Ave
Little Rock, AR 72207
Phone (501) 661-0060

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

Organizations & group practices 2

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 11

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": "1240099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1144463209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N UNIVERSITY AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076347",
            "telephone_number": "501-663-4116",
            "fax_number": "501-663-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N UNIVERSITY AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076347",
            "telephone_number": "501-663-4116",
            "fax_number": "501-663-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISHONGH",
        "first_name": "KRISTIN",
        "middle_name": "MITCHELL",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-19",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AR",
            "license": "E-7890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.