Individual provider Active NPI

Michael Israel, MD

  • Pediatric Adolescent Medicine Physician
  • Little Rock, AR
National Provider Identifier
1366767972
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
E-8661 Issued in AR
Practice address
1 Childrens Way
Slot 512-19a
Little Rock, AR 72202-3500
Phone
(501) 364-1100
NPI assigned
Apr 7, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X E-8661 AR Primary

Addresses

Primary practice location

1 Childrens Way
Slot 512-19a
Little Rock, AR 72202-3500

Mailing address

1 Childrens Way
Slot 512-19a
Little Rock, AR 72202-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131014001238 AL Practitioner - Sports Medicine 5294969820
I20140919001892 AR Practitioner - Pediatric MedicinePractitioner - Sports Medicine 5294969820 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Sports Medicine
Education
University of South Alabama College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Childrens Professional Services Organization LLCGroup PAC ID 4688183148, 180 clinicians

Practice addresses (Care Compare)

1 Childrens Way
Little Rock, AR 72202-3500
Phone (501) 364-2526

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Childrens Professional Services Organization LLC CurrentSince Jul 1, 2025 Accepting new patients
Arkansas Childrens Hospital CurrentSince Aug 8, 2014 Accepting new patients
Arkansas Children'S Hospital CurrentSince Aug 8, 2014 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Aug 1, 2014 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Aug 1, 2014 Accepting new patients
Arkansas Childrens Hospital Past Accepting new patients
University of Arkansas for Medical Sciences Past Accepting new patients

Locations

1 Childrens Way
#664
Little Rock, AR 72202
Phone (501) 364-2505

1 Childrens Way
Ste 653
Little Rock, AR 72202

1 Childrens Way
#51219A
Little Rock, AR 72202
Phone (501) 364-1874

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

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

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1366767972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY",
            "address_2": "SLOT 512-19A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY",
            "address_2": "SLOT 512-19A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-364-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AR",
            "license": "E-8661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.