Individual provider Active NPI

Issam Makhoul, MD

  • Hematology & Oncology Physician
  • Little Rock, AR
National Provider Identifier
1477643955
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
E-3306 Issued in AR
Practice address
8901 Carti Way
Little Rock, AR 72205-6523
Phone
(015) 906-3000
NPI assigned
Oct 13, 2006
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X E-3306 AR
Hematology & Oncology Physician 207RH0003X E-3306 AR Primary
Medical Oncology Physician 207RX0202X E-3306 AR

Addresses

Primary practice location

8901 Carti Way
Little Rock, AR 72205-6523

Mailing address

PO Box 55050
Little Rock, AR 72215-5050
Phone (501) 906-3000

Other identifiers 4

IdentifierTypeStateIssuer
830008472OtherARRAILROAD MEDICARE1
5M338OtherARBCBS
02120013100OtherARQUALCHOICE
148205001MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sam.makhoul@carti.OncoEMRDirect.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100116000404 AR Practitioner - Hematology/OncologyPractitioner - Medical Oncology 1456493295 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Medical Oncology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8901 Carti Way
Little Rock, AR 72205-6523
Phone (501) 906-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Jun 7, 2002 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc Hematology & Oncology CurrentSince Oct 15, 2021 Accepting new patients
University of Arkansas for Medical Sciences Internal Medicine CurrentSince Jun 7, 2002 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Oct 15, 2021 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc Past Accepting new patients

Locations

2500 Highway 65 S
Clinton, AR 72031
Phone (501) 745-7000

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#508
Little Rock, AR 72205
Phone (501) 686-8511

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

8901 Carti Way
Little Rock, AR 72205
Phone (501) 224-5454

9601 Baptist Health Dr
Ste 106
Little Rock, AR 72205

Interoperability endpoints

  • Direct secure messaging: sam.makhoul@carti.oncoemrdirect.com

Organizations & group practices 5

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 1

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1477643955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55050",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722155050",
            "telephone_number": "501-906-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 CARTI WAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056523",
            "telephone_number": "015-906-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKHOUL",
        "first_name": "ISSAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "AR",
            "license": "E-3306",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AR",
            "license": "E-3306",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "AR",
            "license": "E-3306",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE1",
            "identifier": "830008472",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5M338",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "02120013100",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148205001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sam.makhoul@carti.OncoEMRDirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8901 Carti Way",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722056523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.