Baptist Health

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BAPTIST HEALTH

Doing business as

Baptist Health - UAMS Cancer Clinic

Practice address

9500 Kanis Rd Ste 500
Little Rock, AR 72205-6324

Phone

(501) 202-2000

NPI assigned

Nov 22, 2022

Last updated

Nov 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Troy Wells

Title

President

Phone

(501) 202-2080

Specialties & licenses 5

Addresses

Other names 1

• Baptist Health - UAMS Cancer Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Baptist Health

  dba Baptist Health Family Clinic - Sheridan

  • Rural Health Clinic/Center
  • Sheridan, AR
  • NPI 1114792157

  O20210504000413

  Same enrollment
• Baptist Health

  dba Baptist Health Family Clinic - Beebe

  • Rural Health Clinic/Center
  • Beebe, AR
  • NPI 1376336883

  O20210504000413

  Same enrollment
• Baptist Health

  dba Baptist Health Family Clinic - Sparkman

  • Rural Health Clinic/Center
  • Sparkman, AR
  • NPI 1427630110

  O20210504000413

  Same enrollment
• Baptist Health

  dba Baptist Health Family Clinic - Malvern

  • Rural Health Clinic/Center
  • Malvern, AR
  • NPI 1477201937

  O20210504000413

  Same enrollment
• Baptist Health

  dba Baptist Health Family Clinic - Russellville

  • Rural Health Clinic/Center
  • Russellville, AR
  • NPI 1689467102

  O20210504000413

  Same enrollment
• Baptist Health

  dba Baptist Health Family Clinic - Perryville

  • Rural Health Clinic/Center
  • Perryville, AR
  • NPI 1790578219

  O20210504000413

  Same enrollment
• Baptist Health

  dba Baptist Health Cancer Clinic - Drew County

  • Medical Oncology Physician
  • Monticello, AR
  • NPI 1861266793

  O20210504000413

  Same enrollment
• Baptist Health

  dba BH Cancer Center - Heber Springs

  • Multi-Specialty Clinic/Center
  • Heber Springs, AR
  • NPI 1932081221

  O20210504000413

  Same enrollment

Locations

Practitioners 9

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.

• Abhijit Moreshwar Godbole, MD

  • Hematology & Oncology Physician
  • Little Rock, AR
  • NPI 1609135797
  NPD
• MD Shadiqul Hoque, M.D

  • Medical Oncology Physician
  • North Little Rock, AR
  • NPI 1487918702
  NPD
• Anusha Jillella, MD

  • Medical Oncology Physician
  • North Little Rock, AR
  • NPI 1760845804
  NPD
• Christina Elizabeth Porter, MNSC APRN AGACNP-BC

  • Nurse Practitioner
  • Little Rock, AR
  • NPI 1649719923
  NPD
• Matthew Allen Steliga, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Little Rock, AR
  • NPI 1417121591
  NPD
• Angela D Suttle, APRN

  • Family Nurse Practitioner
  • Bismarck, AR
  • NPI 1073058749
  NPD
• Vivek Yadala

  • Hematology & Oncology Physician
  • Little Rock, AR
  • NPI 1639699770
  NPD
• Sri J Obulareddy, M.D.

  • Medical Oncology Physician
  • Yakima, WA
  • NPI 1760779979
  NPD
• Shi-Ming Tu, M.D.

  • Medical Oncology Physician
  • Reno, NV
  • NPI 1386721421
  NPD

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1487363099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 KANIS RD STE 500",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056324",
            "telephone_number": "501-202-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-202-2080"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Health - UAMS Cancer Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Baptist Health (Baptist Health Medical Towers Pharmacy and Infusion Services)
• Baptist Health (Baptist Medical Center ESRD)
• Baptist Health (Arkansas Cardiology)
• Baptist Health (Baptist Health On-Site Clinic)
• Baptist Health (Baptist Rehabilitation Institute Physicians)
• Baptist Health (Medflight)
• Baptist Health (BMC Physician Clinic)
• Baptist Health
• Baptist Health (Baptist Health Medical Towers Pharmacy & Infusion Services)
• Baptist Health (Baptist Health Supportive Care At Home)

• Multi-Specialty Clinic/Center in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Multi-Specialty Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.