Active NPI
April E Kilgore, MD
- Pediatrics Physician
- Bentonville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- E-10917
- Practice address
- 2719 SE I St
Bentonville, AR 72712-3996 - Phone
- (479) 273-5437
- Fax
- (479) 273-9932
- NPI assigned
- May 9, 2007
- Last updated
- Sep 12, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 23959 | WV | |
| Pediatrics Physician | 208000000X | E-10917 | AR | Primary |
| Pediatric Infectious Diseases Physician | 2080P0208X | 23959 | WV | |
| Pediatric Infectious Diseases Physician | 2080P0208X | TP083 | KY |
Addresses
Primary practice location
2719 SE I St
Bentonville, AR 72712-3996
Mailing address
2719 SE I St
Bentonville, AR 72712-3996
Phone (479) 273-5437
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 224766001 | Medicaid | AR | |
| 3810017714 | Medicaid | WV | |
| 7100117820 | Medicaid | KY |
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
- Pediatric Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Childrens Way
Little Rock, AR 72202-3500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-10917 | AR | MD | Pediatrics Physician |
| TP083 | KY | MD | Pediatric Infectious Diseases Physician |
| 23959 | WV | MD | Pediatric Infectious Diseases Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Childrens Professional Services Organization LLC | Pediatrics | Current | Accepting new patients |
| Bentonville Pediatrics | Pediatrics | Past | Accepting new patients |
| Northwest Arkansas Immunization | Pediatrics | Past | Accepting new patients |
| Arkansas Children's Medical Group PLLC | Pediatrics | Past | Accepting new patients |
Locations
1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874
1 Childrens Way
#844
Little Rock, AR 72202
Phone (501) 364-2090
2601 Gene George Blvd
Springdale, AR 72762
Phone (479) 725-6800
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1629889464
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1396274841
-
- Pediatrics Physician
- Bentonville, AR
- NPI 1356319164
-
- Pediatrics Physician
- Bentonville, AR
- NPI 1386944791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1407060569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2719 SE I ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123996",
"telephone_number": "479-273-5437",
"fax_number": "479-273-9932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2719 SE I ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123996",
"telephone_number": "479-273-5437",
"fax_number": "479-273-9932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILGORE",
"first_name": "APRIL",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WV",
"license": "23959",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "E-10917",
"primary": true
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "WV",
"license": "23959",
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "KY",
"license": "TP083",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "224766001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810017714",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100117820",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.