Dmitry Alekseevich Nedosekin, MD, PHD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E-17106 Issued in AR

Practice address

1701 Club Manor Dr
Maumelle, AR 72113-7401

Phone

(501) 851-7402

Fax

(501) 851-4753

NPI assigned

Apr 2, 2021

Last updated

Jul 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Arkansas College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036
• Unity Health - Jacksonville Hospital, Jacksonville, AR, CCN 040164
• Baptist Health Medical Center Heber Springs Hospital, Heber Springs, AR, CCN 041312

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dnedosekin748344@direct.baptist-healthar.org

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.

• Arkansas Health Group

  dba Internal Medicine Associates of North Little Rock

  • Internal Medicine Physician
  • Maumelle, AR
  • NPI 1932118890

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Arkansas Health Group

  dba Baptist Health Surgical Clinic-Stuttgart

  • Surgery Physician
  • Stuttgart, AR
  • NPI 1952840555

  Single Specialty

  NPD

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

• Baptist Health

  dba Baptist Health Medical Center-North Little Rock

  • General Acute Care Hospital
  • North Little Rock, AR
  • NPI 1497790042
  Care Compare affiliation
• Baptist Health

  dba Baptist Health Medical Center - Heber Springs

  • Critical Access Hospital
  • Heber Springs, AR
  • NPI 1609804822
  Care Compare affiliation
• Unity Health - Jacksonville

  • Psychiatric Hospital
  • Jacksonville, AR
  • NPI 1245954460
  Care Compare affiliation

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1396324810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114348",
            "telephone_number": "501-851-7402",
            "fax_number": "501-851-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CLUB MANOR DR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137401",
            "telephone_number": "501-851-7402",
            "fax_number": "501-851-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDOSEKIN",
        "first_name": "DMITRY",
        "middle_name": "ALEKSEEVICH",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-17106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Gregory Morgan, OTR/L
• Marilynn Joy Morris, M.S.,CCC-SLP
• Erika A Morrison, CNP
• Dawn Melton Mulkern, MBA, RD, LD
• Fred G Nagel Jr., M.D.
• Novaview Psychological Services, L.L.C.
• Ricky Nwozuzu
• Oasis of Arkansas, Inc
• Andrew Freeman Oliver, NP-C
• Caroline Elizabeth Oudin, DDS

• Internal Medicine Physician in Maumelle, AR
• Providers in Maumelle, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.

Verify at the official NPI Registry.