Individual provider Active NPI

Bassam N. Shukrallah, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Little Rock, AR
National Provider Identifier
1205977634
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
E-16164 Issued in AR
Practice address
9601 Baptist Health Dr Ste 200
Little Rock, AR 72205-6342
Phone
(501) 223-2860
Fax
(501) 223-2258
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X E-16164 AR Primary

Addresses

Primary practice location

9601 Baptist Health Dr Ste 200
Little Rock, AR 72205-6342

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 812-7800

Other practice location 1

4301 W Markham St # 713
Little Rock, AR 72205-7101
Phone (501) 686-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, AL, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180726000331 MN Practitioner - Thoracic Surgery 5496996761 Reassigns benefits to 1 organization
I20220610001687 AL Practitioner - Thoracic Surgery 5496996761 Reassigns benefits to 1 organization
I20230216001914 AR Practitioner - Thoracic Surgery 5496996761 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, shared by 52 NPIs, 645 clinicians

Practice addresses (Care Compare)

4301 W Markam St
Little Rock, AR 72205-7101
Phone (501) 686-8000

9500 Kanis Rd
Suite 410
Little Rock, AR 72205-6377
Phone (501) 202-1500

9601 Baptist Health Dr
Suite 200
Little Rock, AR 72205-6342
Phone (501) 223-2860

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-16164ARMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Aug 10, 2025 Accepting new patients
Hennepin Healthcare System, Inc Current Accepting new patients
Arkansas Health Group CurrentSince Jan 30, 2023 Accepting new patients
Arkansas Health Group CurrentSince Jan 30, 2023 Accepting new patients
Arkansas Health Group Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Feb 1, 2023 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jun 1, 2022 Accepting new patients
Hennepin Healthcare System Inc CurrentSince Sep 2, 2018 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Sep 2, 2018 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Aug 10, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

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

4301 W Markham St
#713
Little Rock, AR 72205
Phone (501) 686-5220

9500 Kanis Rd
Ste 410
Little Rock, AR 72205
Phone (501) 202-1500

9601 Baptist Health Dr
Ste 200
Little Rock, AR 72205
Phone (501) 224-5666

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

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

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

Interoperability endpoints

  • Direct secure messaging: bshukrallah667618@direct.baptist-healthar.org

Organizations & group practices 11

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 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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1205977634",
    "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": "501-812-7800",
            "fax_number": "501-812-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056342",
            "telephone_number": "501-223-2860",
            "fax_number": "501-223-2258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 713",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUKRALLAH",
        "first_name": "BASSAM",
        "middle_name": "N.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AR",
            "license": "E-16164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.