Active NPI
Aaron Kuperman, MD
- Internal Medicine Physician
- Pine Bluff, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E-4848
- Practice address
- 1600 W 40TH Ave
Attn: Hospitalist Department
Pine Bluff, AR 71603-6301 - Phone
- (870) 541-8767
- Fax
- (870) 541-7230
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E-4848 | AR | Primary |
Addresses
Primary practice location
1600 W 40TH Ave
Attn: Hospitalist Department
Pine Bluff, AR 71603-6301
Mailing address
1600 W 40TH Ave
Attn: Hospitalist Department
Pine Bluff, AR 71603-6301
Phone (870) 541-8767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162208001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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
- Internal Medicine
- Education
- University of Arkansas College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Bishop St
Union City, TN 38261-5403
Phone (731) 885-2410
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000
Hospital & facility affiliations
- Baptist Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-4848 | AR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Baptist Memorial Hospital | Past | Accepting new patients |
Locations
2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
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.
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279843200000",
"number": "1376577619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W 40TH AVE",
"address_2": "ATTN: HOSPITALIST DEPARTMENT",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716036301",
"telephone_number": "870-541-8767",
"fax_number": "870-541-7230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W 40TH AVE",
"address_2": "ATTN: HOSPITALIST DEPARTMENT",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716036301",
"telephone_number": "870-541-8767",
"fax_number": "870-541-7230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUPERMAN",
"first_name": "AARON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2010-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-4848",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162208001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.