Organization Active NPI

Ali Raja MD PA

Doing business as Neurosurgery Specialists of Arkansas

  • Neurological Surgery Physician
  • Little Rock, AR
National Provider Identifier
1477126282
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
ALI RAJA MD PA
Doing business as
Neurosurgery Specialists of Arkansas
Practice address
5918 Lee Ave
Little Rock, AR 72205-3326
Phone
(501) 227-1860
NPI assigned
Jul 20, 2021
Last updated
Jul 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Dr. Ali Raja, MDNPI 1013131275
Title
President
Phone
(501) 590-9390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

5918 Lee Ave
Little Rock, AR 72205-3326

Mailing address

5918 Lee Ave
Little Rock, AR 72205-3326
Phone (501) 590-9390

Other identifiers 1

IdentifierTypeStateIssuer
172805001MedicaidAR

Other names 1

  • Neurosurgery Specialists of Arkansas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210820002050 AR DME Supplier - Physician - Neurosurgery 7618372186 Practice locations: Little Rock, AR
O20210929002279 AR Part B Supplier - Clinic/Group Practice 7618372186 Receives reassigned benefits from 2 practitioners
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

5918 Lee Ave
Little Rock, AR 72205
Phone (501) 227-1860

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1477126282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5918 LEE AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053326",
            "telephone_number": "501-590-9390",
            "fax_number": "501-353-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5918 LEE AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053326",
            "telephone_number": "501-227-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI RAJA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "RAJA",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-590-9390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172805001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurosurgery Specialists of Arkansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.