NPIMap

Individual provider Active NPI

Kyla Rae Shelton, MD

  • Vascular Surgery Physician
  • Little Rock, AR
National Provider Identifier
1275859076
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
E-10901 Issued in AR
Practice address
4301 W Markham St # 520-2
Little Rock, AR 72205-7101
Phone
(501) 686-6176
NPI assigned
Apr 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X E-10901 AR
Vascular Surgery Physician 2086S0129X E-10901 AR Primary

Addresses

Primary practice location

4301 W Markham St # 520-2
Little Rock, AR 72205-7101

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other names 1

  • Kyla Shelton Lang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171205000614 AR Practitioner - Vascular Surgery 6103134291 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Arkansas College of Medicine, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Arkansas Vascular and Vein Specialists, PLLCGroup PAC ID 5890167423, 4 clinicians

Practice addresses (Care Compare)

10310 W Markham St
Suite 100
Little Rock, AR 72205-1581
Phone (501) 712-2571

525 Western Ave
Suite 203
Conway, AR 72034-4980
Phone (501) 327-4828

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal21
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)19
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-10901ARMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Nov 1, 2017 Accepting new patients
Arkansas Children'S Hospital CurrentSince Nov 1, 2017 Accepting new patients
Arkansas Childrens Hospital CurrentSince Nov 1, 2017 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Nov 1, 2017 Accepting new patients
Pain Treatment Centers of America PLLC CurrentSince Jan 13, 2022 Accepting new patients
University of Arkansas for Medical Sciences Surgery CurrentSince Nov 1, 2017 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Arkansas Vascular and Vein Specialists, PLLC Vascular Surgery CurrentSince Jan 30, 2023 Accepting new patients
Pain Treatment Centers of America, PLLC CurrentSince Jan 13, 2022 Accepting new patients
Conway Regional Medical Center Inc CurrentSince Mar 1, 2024 Accepting new patients
Conway Regional Medical Center Inc Surgery CurrentSince Mar 1, 2024 Accepting new patients
Conway Regional Medical Center Inc Past Accepting new patients

Locations

1215 Sidney St
Batesville, AR 72501
Phone (870) 262-1541

525 Western Ave
Ste 203
Conway, AR 72034
Phone (501) 327-4828

10310 W Markham St
Ste 100
Little Rock, AR 72205
Phone (501) 424-4738

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

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

4301 W Markham St
#5202
Little Rock, AR 72205
Phone (501) 686-6086

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

Interoperability endpoints

  • Direct secure messaging: kyla.shelton@4089.securemail.prognocis.com

Organizations & group practices 12

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 8

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": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1275859076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 520-2",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "KYLA",
        "middle_name": "RAE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-10901",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AR",
            "license": "E-10901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLA",
            "last_name": "SHELTON LANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.