NPIMap

Individual provider Active NPI

Kedar Jambhekar, MD

  • Diagnostic Radiology Physician
  • Little Rock, AR
National Provider Identifier
1346255759
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E4278 Issued in AR
Practice address
4300 W 7TH St
Little Rock, AR 72205-5446
Phone
(501) 257-7660
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X E4278 AR Primary

Addresses

Primary practice location

4300 W 7TH St
Little Rock, AR 72205-5446

Mailing address

2110 Wellington Plantation Dr
Little Rock, AR 72211-2153
Phone (501) 526-7406

Other identifiers 1

IdentifierTypeStateIssuer
P00251611OtherARRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050503000733 AR Practitioner - Diagnostic Radiology 0749229334 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Arkansas for Medical SciencesGroup PAC ID 4082528955, shared by 29 NPIs, 1,159 clinicians

Practice addresses (Care Compare)

10815 Colonel Glenn Rd
Little Rock, AR 72204-8011
Phone (501) 406-9201

10915 N Rodney Parham Rd
Suite F
Little Rock, AR 72212-4202
Phone (501) 686-8000

1401 W Capitol Ave
Little Rock, AR 72201-2936
Phone (501) 686-8000

1811 Rahling Rd
Suite 120
Little Rock, AR 72223-4678
Phone (501) 686-8000

201 W Van Asche Loop
Uams Health Orthopaedics and Sports
Fayetteville, AR 72703-4996
Phone (479) 966-4491

4301 W Markam St
Little Rock, AR 72205-7101

609 SW 8TH St
Suite 900
Bentonville, AR 72712-7579
Phone (479) 334-7030

629 Jack Stephens Dr
Little Rock, AR 72205-5525
Phone (501) 686-8000

Hospital & facility affiliations

  • University of Arkansas Medical Sciences Hospital, Little Rock, AR, CCN 040016
  • Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
  • White County Medical Center Hospital, Searcy, AR, CCN 040014
  • Arkansas Heart Hospital, LLC Hospital, Little Rock, AR, CCN 040134
  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E4278ARMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences Diagnostic Radiology CurrentSince Feb 10, 2010 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2005 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2005 Accepting new patients

Locations

4300 W 7th St
Little Rock, AR 72205
Phone (501) 257-5772

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

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

Organizations & group practices 3

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 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1346255759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 WELLINGTON PLANTATION DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112153",
            "telephone_number": "501-526-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W 7TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055446",
            "telephone_number": "501-257-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMBHEKAR",
        "first_name": "KEDAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E4278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00251611",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.