Active NPI
Lina Al-Jaberi, MD
- Pediatrics Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- E-14963
- Practice address
- 1 Childrens Way # 512-2
Little Rock, AR 72202-3500 - Phone
- (501) 364-1660
- Fax
- (501) 364-5339
- NPI assigned
- Sep 21, 2016
- Last updated
- Sep 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A421522785995 | MI | |
| Pediatrics Physician | 208000000X | E-14963 | AR | Primary |
Addresses
Primary practice location
1 Childrens Way # 512-2
Little Rock, AR 72202-3500
Mailing address
PO Box 251418
Little Rock, AR 72225-1418
Phone (501) 364-1100
Other practice location 1
1333 Winding Ridge Dr
apartment number 2A
Grand Blanc, MI 48439-7561
Phone (385) 419-5272
Other names 1
- Lina Al Jaberi
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-14963 | AR | MD | Pediatrics Physician |
| A421522785995 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Pediatrics | Current | Accepting new patients |
| Arkansas Children's Hospital | Current | Accepting new patients | |
| Arkansas Childrens Hospital | Pediatrics | Current | Accepting new patients |
Locations
1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874
1 Childrens Way
#5122
Little Rock, AR 72202
Phone (501) 364-1660
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
1 Childrens Way
Ste 653
Little Rock, AR 72202
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ACH Physicians Billing Group
- Pediatrics Physician
- Little Rock, AR
- NPI 1598773079
-
dba Childrens University Medical Group
- Pediatrics Physician
- Little Rock, AR
- NPI 1346230968
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1629889464
-
- Children's Hospital
- Little Rock, AR
- NPI 1477561983
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
dba FGP Managed Care
- General Practice Physician
- Little Rock, AR
- NPI 1326341488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1356899173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251418",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722251418",
"telephone_number": "501-364-1100",
"fax_number": "501-364-4082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS WAY # 512-2",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722023500",
"telephone_number": "501-364-1660",
"fax_number": "501-364-5339"
}
],
"practiceLocations": [
{
"address_1": "1333 Winding Ridge Dr",
"address_2": "apartment number 2A",
"address_purpose": "LOCATION",
"city": "Grand Blanc",
"state": "MI",
"postal_code": "484397561",
"country_code": "US",
"telephone_number": "385-419-5272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL-JABERI",
"first_name": "LINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-21",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "A421522785995",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "E-14963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINA",
"last_name": "AL JABERI",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.