Robert W. Steele, MD

Individual provider Active NPI Pediatrics Physician · Little Rock, AR

NPI 1306989306 · NPPES record last updated Jan 31, 2018

Key facts

NPI
1306989306
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
E9015 (AR)
Practice address
1 Childrens Way # 844
Little Rock, AR 72202-3500
Phone
(501) 364-2090
Fax
(501) 364-3929
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150707000342 AR Practitioner - Pediatric Medicine 4880718733 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E9015ARMDPediatrics Physician
112518MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Children'S Hospital Current
since Jun 1, 2015
Accepting new patients
Arkansas Childrens Hospital Pediatrics Current
since Jun 1, 2015
Accepting new patients
Arkansas Children'S Care Network Current Accepting new patients
Ozarks Medical Center Past Accepting new patients
Arkansas Children'S Medical Group PLLC Pediatrics Past
since Mar 1, 2017
Accepting new patients
Mercy Clinic Joplin LLC Past
since Jul 1, 2014
Accepting new patients

Locations

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

1 Childrens Way
#844
Little Rock, AR 72202
Phone (501) 364-2090

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 112518 MO
Pediatrics Physician 208000000X E9015 AR Yes

Addresses

Primary practice location

1 Childrens Way # 844
Little Rock, AR 72202-3500

Mailing address

1 Childrens Way # 844
Little Rock, AR 72202-3500
Phone (501) 364-2090

Other identifiers

IdentifierTypeStateIssuer
208922302MedicaidMO
82206OtherMOAR BLUE SHIELD #
140740001MedicaidAR

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 31, 2018.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1306989306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY # 844",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-364-2090",
            "fax_number": "501-364-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY # 844",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-364-2090",
            "fax_number": "501-364-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "ROBERT",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "112518",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E9015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208922302",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE SHIELD #",
            "identifier": "82206",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140740001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

All providers in Little Rock, AR · Pediatrics Physician in Arkansas

Sources for this page

Verify at the official NPI Registry.