Chenal Pain Management LLC

Key facts

NPI: 1295589083
Entity type: Organization (NPI type 2)
Primary specialty: Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
Legal business name: CHENAL PAIN MANAGEMENT LLC
Practice address: 11219 Financial Centre Pkwy Ste 240
Little Rock, AR 72211-3859
Phone: (501) 725-0830
Fax: (501) 725-0835
NPI assigned: Apr 16, 2024
Organization subpart: No

Authorized official

Name: Krishnappa A Prasad, M.D. NPI 1619060589
Title: Owner/President
Phone: (501) 725-0830

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Krishnappa Arthur Prasad, MD Pain Medicine (Physical Medicine & Rehabilitation) Physician · Little Rock, AR · NPI 1619060589

Medicare reassignment NPD Authorized official AR · PHYSICAL MEDICINE & REHABILITATION

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
04D2304160	Chenal Pain Management 11219 Financial Center Pkwy Ste 240, Little Rock, AR 72211	Compliance	Jun 10, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in AR

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20240617000716	AR	Part B Supplier - Clinic/Group Practice	3173066370	Receives reassigned benefits from 1 practitioner Practice locations: Little Rock, AR
O20240814003198	AR	DME Supplier - Physician - Physical and Rehabilitation	3173066370	Practice locations: Little Rock, AR

National Provider Directory

Locations

11219 Financial Centre Pkwy
Ste 240
Little Rock, AR 72211
Phone (501) 725-0830

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician Group: 193400000X SINGLE SPECIALTY GROUP	2081P2900X			Yes

Addresses

Primary practice location

11219 Financial Centre Pkwy Ste 240
Little Rock, AR 72211-3859

Mailing address

11219 Financial Centre Pkwy Ste 240
Little Rock, AR 72211-3859
Phone (501) 725-0830

Other names

Chenal Pain Management Doing business as

Other providers in Little Rock, AR

All providers in Little Rock, AR · Pain Medicine (Physical Medicine & Rehabilitation) Physician in Arkansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.