Active NPI
Fernando Padilla, M.D.
- Hematology & Oncology Physician
- Little Rock, AR
National Provider Identifier
1245268879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- C4351
- Practice address
- 500 S University Ave
Suite 811
Little Rock, AR 72205-5302 - Phone
- (501) 661-1822
- Fax
- (501) 666-0266
- NPI assigned
- Jun 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | C4351 | AR | Primary |
Addresses
Primary practice location
500 S University Ave
Suite 811
Little Rock, AR 72205-5302
Mailing address
500 S University Ave
Suite 811
Little Rock, AR 72205-5302
Phone (501) 661-1822
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104408001 | Medicaid | AR | |
| 710779617PAD | Other | MERCY HEALTH PLANS | |
| AS0500592 | Other | TRICARE | |
| 15162000000 | Other | AR | QUAL-CHOICE OF ARKANSAS |
| 830002634 | Other | RAILROAD MEDICARE | |
| 710779617 | Other | UNITED HEALTHCARE | |
| 341898 | Other | HEALTHLINK PPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4351 | AR | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263427200000",
"number": "1245268879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S UNIVERSITY AVE",
"address_2": "SUITE 811",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055302",
"telephone_number": "501-661-1822",
"fax_number": "501-666-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S UNIVERSITY AVE",
"address_2": "SUITE 811",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055302",
"telephone_number": "501-661-1822",
"fax_number": "501-666-0266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "FERNANDO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2010-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "AR",
"license": "C4351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104408001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY HEALTH PLANS",
"identifier": "710779617PAD",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "AS0500592",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUAL-CHOICE OF ARKANSAS",
"identifier": "15162000000",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "830002634",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "710779617",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK PPO",
"identifier": "341898",
"state": null
}
],
"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 Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.