Individual provider Active NPI

Joe L. Hargrove, M.D.

  • Cardiovascular Disease Physician
  • Little Rock, AR
National Provider Identifier
1285628065
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
R2720 Issued in AR
Practice address
5315 W 12TH St
Little Rock, AR 72204-1858
Phone
(501) 664-0941
Fax
(501) 666-3956
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X R2720 AR Primary

Addresses

Primary practice location

5315 W 12TH St
Little Rock, AR 72204-1858

Mailing address

5315 W 12TH St
Little Rock, AR 72204-1858
Phone (501) 664-0941

Other identifiers 1

IdentifierTypeStateIssuer
104904001MedicaidAR

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
I20060123000799 AR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0446155469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Infirmary Medical CenterGroup PAC ID 5698674166, 44 clinicians

Practice addresses (Care Compare)

10100 Kanis Rd
Little Rock, AR 72205-6202
Phone (501) 255-6000

Hospital & facility affiliations

  • CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007
  • McGehee Hospital Hospital, McGehee, AR, CCN 041308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2720ARMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Infirmary Medical Center Current Accepting new patients
Baptist Health CurrentSince Jun 6, 2014 Accepting new patients
St. Vincent Infirmary Medical Center Current Accepting new patients
Heart Clinic Arkansas Cardiovascular Disease Current Accepting new patients
Baptist Health Cardiovascular Disease CurrentSince Jun 6, 2014 Accepting new patients
St Vincent Infirmary Medical Center Past Accepting new patients
St. Vincent Medical Group Cardiovascular Disease Past Accepting new patients
St Vincent Physician Clinics LLC Past Accepting new patients

Locations

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

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

10100 Kanis Rd
Little Rock, AR 72205
Phone (501) 255-6000

1708 N Buerkle St
Stuttgart, AR 72160
Phone (870) 659-8050

Interoperability endpoints

  • Direct secure messaging: jhargrove456826@direct.stlukeshealth.org

Organizations & group practices 8

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 3

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1285628065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 W 12TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041858",
            "telephone_number": "501-664-0941",
            "fax_number": "501-666-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 W 12TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041858",
            "telephone_number": "501-664-0941",
            "fax_number": "501-666-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGROVE",
        "first_name": "JOE",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "R2720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104904001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.