Active NPI
Mohamed Tolba, M.D.
- Interventional Pain Medicine Physician
- Conway, AR
National Provider Identifier
1356635486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- E8922
- Practice address
- 1080 Pats LN
Conway, AR 72032-4754 - Phone
- (501) 227-0184
- NPI assigned
- Jun 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | E8922 | AR | Primary |
Addresses
Primary practice location
1080 Pats LN
Conway, AR 72032-4754
Mailing address
5700 W Markham St
Little Rock, AR 72205-3328
Phone (501) 227-0184
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E8922 | Other | AR | LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5700 W Markham St
Little Rock, AR 72205-3328
Phone (501) 227-0184
Hospital & facility affiliations
- White County Medical Center
- Baptist Health Medical Center North Little Rock
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.45 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 78.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E8922 | AR | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Q Pain & Spine Clinic, PA | Multi-Specialty | Current | Accepting new patients |
| Dr Q Pain & Spine Clinic PA | Multi-Specialty | Current | Accepting new patients |
| Central Arkansas Surgery Center, LLC | Interventional Pain Medicine | Past | Accepting new patients |
Locations
1080 Pats Ln
Conway, AR 72032
Phone (501) 450-7900
100 N Fillmore St
Little Rock, AR 72205
Phone (870) 226-5875
5700 W Markham St
Little Rock, AR 72205
Phone (501) 663-1211
3524 E Race Ave
Searcy, AR 72143
Organizations & group practices 4
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.
-
- Physical Medicine & Rehabilitation Physician
- Little Rock, AR
- NPI 1477781425
Multi-Specialty
-
- Anesthesiology Physician
- Benton, AR
- NPI 1497023360
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Plano, TX
- NPI 1922684950
Multi-Specialty
-
- Ambulatory Surgical Clinic/Center
- Little Rock, AR
- NPI 1629404918
Interventional Pain Medicine
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- North Little Rock, AR
- NPI 1497790042
-
- Hospitalist Physician
- Searcy, AR
- NPI 1053662890
-
- General Acute Care Hospital
- Searcy, AR
- NPI 1568406536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455494400000",
"number": "1356635486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 W MARKHAM ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053328",
"telephone_number": "501-227-0184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 PATS LN",
"city": "CONWAY",
"state": "AR",
"postal_code": "720324754",
"telephone_number": "501-227-0184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLBA",
"first_name": "MOHAMED",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-06",
"last_updated": "2016-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "AR",
"license": "E8922",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "E8922",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.