Active NPI
Ami R Bhalodia, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Little Rock, AR
National Provider Identifier
1154531333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- E-20608
- Practice address
- 10810 Executive Center Dr Ste 100
Little Rock, AR 72211-4386 - Phone
- (501) 604-2695
- Fax
- (501) 604-2699
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology Physician | 207ZC0006X | 201747 | LA | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 201747 | LA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | E-20608 | AR | Primary |
Addresses
Primary practice location
10810 Executive Center Dr Ste 100
Little Rock, AR 72211-4386
Mailing address
10810 Executive Center Dr Ste 100
Little Rock, AR 72211-4386
Phone (501) 604-2695
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07062 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10810 Executive Ctr Dr
Suite 100
Little Rock, AR 72211-4386
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201747 | LA | MD | Clinical Pathology Physician |
| E-20608 | AR | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Pathology Laboratory, Inc. | Clinical Pathology | Current | Accepting new patients |
| TPL FL LLC | Current | Accepting new patients | |
| Louisiana State University Health Sciences Center | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
830 W Bayou Pines Dr
Lake Charles, LA 70601
Phone (337) 436-9557
Organizations & group practices 4
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.
-
- Clinical Medical Laboratory
- Lake Charles, LA
- NPI 1215917588
Clinical Pathology
-
- Anatomic Pathology Physician
- Little Rock, AR
- NPI 1649545195
-
- Clinical Medical Laboratory
- Fort Lauderdale, FL
- NPI 1801291794
-
- Anatomic Pathology & Clinical Pathology Physician
- Shreveport, LA
- NPI 1326117003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1154531333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10810 EXECUTIVE CENTER DR STE 100",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114386",
"telephone_number": "501-604-2695",
"fax_number": "501-604-2699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10810 EXECUTIVE CENTER DR STE 100",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114386",
"telephone_number": "501-604-2695",
"fax_number": "501-604-2699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHALODIA",
"first_name": "AMI",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0006X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology",
"state": "LA",
"license": "201747",
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "LA",
"license": "201747",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AR",
"license": "E-20608",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07062",
"state": "LA"
}
],
"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 May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.