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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150707000342 | AR | Practitioner - Pediatric Medicine | 4880718733 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E9015 | AR | MD | Pediatrics Physician |
| 112518 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Children'S Hospital | Current |
Accepting new patients | |
| Arkansas Childrens Hospital | Pediatrics | Current |
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 |
Accepting new patients |
| Mercy Clinic Joplin LLC | Past |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208922302 | Medicaid | MO | |
| 82206 | Other | MO | AR BLUE SHIELD # |
| 140740001 | Medicaid | AR |
NPI Registry JSON
{
"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
- Courtney Lynn Steele
- James Scott Steele
- Kiley Patteson Steele
- Lydia Joy Cloud Steele
- Melissa Ashley Steele
- Ryan Wesley Steele
- Sharon Michelle Steele
- Fawnda Kaye Steelman
- Louis Steen
- Vikki Ann Stefans
All providers in Little Rock, AR · Pediatrics 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 Jan 31, 2018. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.