NPIMap

Individual provider Active NPI

Mikio Ranahan

  • Pain Medicine (Anesthesiology) Physician
  • Chapel Hill, NC
National Provider Identifier
1437544053
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
E13369 Issued in AR
Practice address
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone
(974) 984-1000
NPI assigned
Mar 31, 2015
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pain Medicine (Anesthesiology) Physician 207LP2900X E13369 AR Primary

Addresses

Primary practice location

101 Manning Dr
Chapel Hill, NC 27514-4220

Mailing address

128 University Heights Dr
Monticello, AR 71655-5200
Phone (925) 876-8659

Other practice location 1

4301 W Markham St # 515
Little Rock, AR 72205-7101
Phone (925) 876-8659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200908000312 AR Practitioner - Anesthesiology 8628384021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dardanelle Regional LLCGroup PAC ID 0345576500, shared by 4 NPIs, 8 clinicians

Practice addresses (Care Compare)

200 N 3Rd St
Suite 3
Dardanelle, AR 72834-3802
Phone (479) 229-4677

2200 Ada Ave
Suite 301
Conway, AR 72034-4986
Phone (501) 358-6560

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E13369ARMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Regional Medical Center Inc CurrentSince Sep 1, 2020 Accepting new patients
Conway Regional Medical Center, Inc. Single Specialty Current Accepting new patients
Conway Regional Medical Center, Inc Single Specialty CurrentSince Sep 1, 2020 Accepting new patients
Conway Regional Medical Center Inc Past Accepting new patients

Locations

2200 Ada Ave
Ste 301
Conway, AR 72034
Phone (501) 358-6560

525 Western Ave
Ste 304
Conway, AR 72034
Phone (501) 327-7555

200 N 3rd St
Ste 3
Dardanelle, AR 72834
Phone (479) 229-4677

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1437544053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 UNIVERSITY HEIGHTS DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555200",
            "telephone_number": "925-876-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144220",
            "telephone_number": "974-984-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 515",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "925-876-8659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANAHAN",
        "first_name": "MIKIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-31",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AR",
            "license": "E13369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.