Individual provider Active NPI

Natalia Obraztsova, MD

  • Family Medicine Physician
  • North Little Rock, AR
National Provider Identifier
1235635111
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-13906 Issued in AR
Practice address
3201 Springhill Dr Ste 300
North Little Rock, AR 72117-2909
Phone
(501) 753-4132
Fax
(501) 753-4176
NPI assigned
Apr 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-13906 AR Primary

Addresses

Primary practice location

3201 Springhill Dr Ste 300
North Little Rock, AR 72117-2909

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 753-4132

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
I20210719000309 AR Practitioner - Family Practice 6901153592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

3201 Springhill Drive
300 Baptist Health Family Medicine Residenc
North Little Rock, AR 72117-2909
Phone (501) 753-4132

Hospital & facility affiliations

  • Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-13906ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Aug 16, 2021 Accepting new patients
Arkansas Health Group Family Medicine CurrentSince Aug 16, 2021 Accepting new patients

Locations

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

3201 Springhill Dr
Ste 30
North Little Rock, AR 72117
Phone (501) 753-4132

3201 Springhill Dr
Ste 300
North Little Rock, AR 72117
Phone (501) 753-4132

Interoperability endpoints

  • Direct secure messaging: nobraztsova278680@direct.baptist-healthar.org

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 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": "1522540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1235635111",
    "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": "501-753-4132",
            "fax_number": "501-753-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 SPRINGHILL DR STE 300",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172909",
            "telephone_number": "501-753-4132",
            "fax_number": "501-753-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRAZTSOVA",
        "first_name": "NATALIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-01",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-13906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.