Individual provider Active NPI

Hanan Khadam-Makhoul, M.D.

  • Pulmonary Disease Physician
  • Little Rock, AR
National Provider Identifier
1184838369
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
E-3597 Issued in AR
Practice address
9601 Baptist Health Dr
Ste. 560
Little Rock, AR 72205-6321
Phone
(501) 225-6602
Fax
(501) 225-6642
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X E-3597 AR Primary

Addresses

Primary practice location

9601 Baptist Health Dr
Ste. 560
Little Rock, AR 72205-6321

Mailing address

9601 Baptist Health Dr
Ste. 560
Little Rock, AR 72205-6321
Phone (501) 225-6602

Other identifiers 1

IdentifierTypeStateIssuer
165681001MedicaidAR

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
I20070927000472 AR Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6204921828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9601 Baptist Health Dr
Suite 560
Little Rock, AR 72205-6341
Phone (501) 225-6602

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.45 of 100Reported as individual
Quality
68.57
Promoting interoperability
91
Improvement activities
40
Cost
74.52

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hanan Khadam-Makhoul, M.D., P.a. Pulmonary Disease CurrentSince Mar 12, 2016 Accepting new patients

Locations

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9601 Baptist Health Dr
Ste 560
Little Rock, AR 72205
Phone (501) 225-6602

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

Interoperability endpoints

  • Direct secure messaging: hmakhoul4460@direct.baptist-healthar.org

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 2

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1184838369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR",
            "address_2": "STE. 560",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056321",
            "telephone_number": "501-225-6602",
            "fax_number": "501-225-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR",
            "address_2": "STE. 560",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056321",
            "telephone_number": "501-225-6602",
            "fax_number": "501-225-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADAM-MAKHOUL",
        "first_name": "HANAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AR",
            "license": "E-3597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165681001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.