Individual provider Active NPI

D Andrew Henry, MD

  • Cardiovascular Disease Physician
  • Little Rock, AR
National Provider Identifier
1487647806
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C5570 Issued in AR
Practice address
7 Shackleford West Blvd
Little Rock, AR 72211-3714
Phone
(501) 664-5860
Fax
(501) 664-0889
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C5570 AR Primary

Addresses

Primary practice location

7 Shackleford West Blvd
Little Rock, AR 72211-3714

Mailing address

7 Shackleford West Blvd
Little Rock, AR 72211-3714
Phone (501) 664-5860

Other identifiers 1

IdentifierTypeStateIssuer
109916001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100329001122 AR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 2860396751 Reassigns benefits to 2 organizations
I20220712002636 TX Practitioner - Cardiovascular Disease (Cardiology) 2860396751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Arkansas College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Heart Hospital Rural Health Services, LLCGroup PAC ID 6204004815, 52 clinicians
Arkansas Heart Hospital LLCGroup PAC ID 6002838653, 85 clinicians

Practice addresses (Care Compare)

1007 E 8TH St
Danville, AR 72833-8801
Phone (501) 664-5860

149 Section Line Rd
Suite a C E
Hot Springs, AR 71913-6190
Phone (501) 664-5860

1500 Lawrence St
Batesville, AR 72501-7620
Phone (501) 664-5860

1701 S Shackleford Rd
Little Rock, AR 72211-4335

209 S Portland Ave
Unit 2
Russellville, AR 72801-2339
Phone (501) 664-5860

3930 Galleria Oaks Dr
Texarkana, TX 75503-4670
Phone (501) 664-5860

605 Dave Ward Dr
105 Arkansas Heart Hospital Clinic
Conway, AR 72034-7138
Phone (501) 664-5860

7 Shackleford W Blvd
Little Rock, AR 72211-3886
Phone (501) 664-5860

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5570ARMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Heart Hospital, LLC Cardiovascular Disease CurrentSince Aug 1, 2011 Accepting new patients
Arkansas Heart Hospital Rural Health Services, LLC Cardiovascular Disease CurrentSince Aug 1, 2011 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Aug 1, 2011 Accepting new patients
Little Rock Cardiology Clinic, PA Cardiovascular Disease Past Accepting new patients

Locations

605 Dave Ward Dr
Ste 105
Conway, AR 72034
Phone (501) 504-6270

201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300

149 Section Line Rd
Ste A
Hot Springs, AR 71913

7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671

209 S Portland Ave
Unit 2
Russellville, AR 72801
Phone (479) 967-0690

3930 Galleria Oaks Dr
Texarkana, TX 75503
Phone (903) 306-3484

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1487647806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SHACKLEFORD WEST BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113714",
            "telephone_number": "501-664-5860",
            "fax_number": "501-664-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SHACKLEFORD WEST BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113714",
            "telephone_number": "501-664-5860",
            "fax_number": "501-664-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "D",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "C5570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109916001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.