Individual provider Active NPI

Paul Michael Hruby, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Little Rock, AR
National Provider Identifier
1174729016
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
E9102 Issued in AR
Practice address
9800 Baptist Health Dr Ste 200
Little Rock, AR 72205-6243
Phone
(501) 219-0900
Fax
(501) 312-4750
NPI assigned
Jun 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5622 NE
Retina Specialist (Ophthalmology) Physician 207WX0107X E9102 AR Primary

Addresses

Primary practice location

9800 Baptist Health Dr Ste 200
Little Rock, AR 72205-6243

Mailing address

1524 Cuming St Apt 501
Omaha, NE 68102-4436
Phone (402) 321-1146

Other identifiers 1

IdentifierTypeStateIssuer
209651001MedicaidAR

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
I20150421000666 AR Practitioner - Ophthalmology 2365628971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Creighton University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Associates, P.a.Group PAC ID 3375510126, 6 clinicians

Practice addresses (Care Compare)

205 McAuley CT
Hot Springs, AR 71913-6314
Phone (501) 219-0900

9800 Baptist Health Dr
Little Rock, AR 72205-6243

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.83 of 100Reported as group
Quality
91.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E9102ARMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Associates, P.a. CurrentSince Apr 15, 2015 Accepting new patients
Retina Specialists of Michigan PC Retina Specialist PastSince Dec 15, 2008 Accepting new patients
Metropolitan Hospital Past Accepting new patients

Locations

9800 Baptist Health Dr
Ste 200
Little Rock, AR 72205
Phone (501) 219-0900

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/doctorsoft_retinaassociates

Organizations & group practices 3

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 1

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": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1174729016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 CUMING ST APT 501",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681024436",
            "telephone_number": "402-321-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 BAPTIST HEALTH DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056243",
            "telephone_number": "501-219-0900",
            "fax_number": "501-312-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRUBY",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "5622",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AR",
            "license": "E9102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209651001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.