Active NPI
Prabhat K Hebbar, M.D.
- Clinical Cardiac Electrophysiology Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- E-3469
- Practice address
- 10100 Kanis Rd
Little Rock, AR 72205-6202 - Phone
- (501) 255-6000
- Fax
- (501) 255-6400
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | E-3469 | AR | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | E-3469 | AR | Primary |
Addresses
Primary practice location
10100 Kanis Rd
Little Rock, AR 72205-6202
Mailing address
10100 Kanis Rd
Little Rock, AR 72205-6202
Phone (501) 255-6000
Other practice location 1
4000 Richards Rd
Suite A
North Little Rock, AR 72117-2650
Phone (501) 758-5133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149428001 | Medicaid | AR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10100 Kanis Rd
Little Rock, AR 72205-6202
Phone (501) 255-6000
Hospital & facility affiliations
- CHI-St Vincent Infirmary
- St Vincent Medical Center/North
- St Marys Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 57 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-3469 | AR | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Infirmary Medical Center | Current | Accepting new patients | |
| Heart Clinic Arkansas | Cardiovascular Disease | Current | Accepting new patients |
| St. Vincent Infirmary Medical Center | Current | Accepting new patients | |
| St Vincent Infirmary Medical Center | Current | Accepting new patients | |
| St Vincent Infirmary Medical Center | Past | Accepting new patients |
Locations
10100 Kanis Rd
Little Rock, AR 72205
Phone (501) 255-6000
2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680
4000 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 758-3999
2215 Wildwood Ave
Ste 201
Sherwood, AR 72120
Phone (501) 833-8400
1708 N Buerkle St
Stuttgart, AR 72160
Phone (870) 659-8050
Interoperability endpoints
- phebbar456870@direct.stlukeshealth.org
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Sherwood, AR
- NPI 1316991847
-
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1053367508
-
- Psychiatric Hospital Unit
- Little Rock, AR
- NPI 1710442801
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1144590522
-
- Home Health Agency
- Little Rock, AR
- NPI 1316924236
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Russellville, AR
- NPI 1033160049
-
- Psychiatric Hospital Unit
- Little Rock, AR
- NPI 1710442801
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1780684431
-
- General Acute Care Hospital
- Sherwood, AR
- NPI 1629011002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1245215243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10100 KANIS RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056202",
"telephone_number": "501-255-6000",
"fax_number": "501-255-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10100 KANIS RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056202",
"telephone_number": "501-255-6000",
"fax_number": "501-255-6400"
}
],
"practiceLocations": [
{
"address_1": "4000 Richards Rd",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "North Little Rock",
"state": "AR",
"postal_code": "721172650",
"country_code": "US",
"telephone_number": "501-758-5133",
"fax_number": "501-758-5173",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEBBAR",
"first_name": "PRABHAT",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AR",
"license": "E-3469",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "AR",
"license": "E-3469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149428001",
"state": "AR"
}
],
"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 Oct 18, 2023; 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.