Individual provider Active NPI

Patrick Selakovich, M.D.

  • Gastroenterology Physician
  • North Little Rock, AR
National Provider Identifier
1326466020
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
E1267 Issued in AR
Practice address
3401 Springhill Dr Ste 400
North Little Rock, AR 72117-2928
Phone
(501) 945-3343
Fax
(501) 945-0770
NPI assigned
Apr 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X E1267 AR Primary

Addresses

Primary practice location

3401 Springhill Dr Ste 400
North Little Rock, AR 72117-2928

Mailing address

3401 Springhill Dr Ste 400
North Little Rock, AR 72117-2928
Phone (501) 945-3343

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
I20200508000693 AR Practitioner - Gastroenterology 5395062392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Arkansas College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastro Clinics of Arkansas PLLCGroup PAC ID 5496983363, 6 clinicians

Practice addresses (Care Compare)

3401 Springhill Dr
Suite 155
North Little Rock, AR 72117-2934
Phone (501) 945-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.28 of 100Reported as group
Quality
88.57
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy173
Upper gastrointestinal (GI) endoscopy for acid reflux292

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E1267ARMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Clinics of Arkansas, PLLC CurrentSince Jul 1, 2020 Accepting new patients
Arkansas Gastroenterology Gastroenterology PastSince Jul 1, 2020 Accepting new patients

Locations

3401 Springhill Dr
Ste 400
North Little Rock, AR 72117
Phone (501) 945-3343

3401 Springhill Dr
Ste 155
North Little Rock, AR 72117
Phone (501) 202-3631

3401 Springhill Dr
Ste 400A
North Little Rock, AR 72117
Phone (501) 791-3800

Organizations & group practices 2

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 2

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1326466020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 SPRINGHILL DR STE 400",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172928",
            "telephone_number": "501-945-3343",
            "fax_number": "501-945-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 SPRINGHILL DR STE 400",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172928",
            "telephone_number": "501-945-3343",
            "fax_number": "501-945-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELAKOVICH",
        "first_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "E1267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.