Organization Active NPI

Hmdod LLC

Doing business as SARC Eldorado

  • Cardiovascular Disease Physician
  • El Dorado, AR
National Provider Identifier
1316580996
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
HMDOD LLC
Doing business as
SARC Eldorado
Practice address
403 W Oak St Ste 101
El Dorado, AR 71730-4573
Phone
(870) 875-1481
NPI assigned
Oct 25, 2019
Last updated
Oct 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Authorized official

Name
Dr. Harvinder S Dod, MDNPI 1699983635
Title
Owner
Phone
(870) 875-1481

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

403 W Oak St Ste 101
El Dorado, AR 71730-4573

Mailing address

403 W Oak St Ste 101
El Dorado, AR 71730-4573
Phone (870) 875-1481

Other identifiers 1

IdentifierTypeStateIssuer
E-6833OtherARSTATE LICENSE

Other names 1

  • SARC Eldorado Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200115001774 AR Part B Supplier - Clinic/Group Practice 2961837216 Receives reassigned benefits from 7 practitioners
Practice locations: Conway, AR; El Dorado, AR; Little Rock, AR; Magnolia, AR

National Provider Directory

National Provider Directory

Locations

12 Medical Ln
Conway, AR 72034
Phone (501) 329-3600

1100 Martin Luther King Dr
Little Rock, AR 72202
Phone (901) 525-3086

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

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1316580996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W OAK ST STE 101",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304573",
            "telephone_number": "870-875-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W OAK ST STE 101",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304573",
            "telephone_number": "870-875-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HMDOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "DOD",
        "authorized_official_first_name": "HARVINDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-875-1481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "E-6833",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SARC Eldorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.