Individual provider Active NPI

Karol Mudy, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Little Rock, AR
National Provider Identifier
1487814273
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
58985 Issued in MN
Practice address
9601 Baptist Health Dr Ste 990
Little Rock, AR 72205-6376
Phone
(501) 223-2860
Fax
(501) 223-2258
NPI assigned
Jun 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 58985 MN
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 58985 MN Primary

Addresses

Primary practice location

9601 Baptist Health Dr Ste 990
Little Rock, AR 72205-6376

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 812-7800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmudy212898@excellian.direct.allina.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
I20220910000411 AR Practitioner - Thoracic Surgery 6709190853 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, shared by 52 NPIs, 645 clinicians

Practice addresses (Care Compare)

4301 W Markam St
Little Rock, AR 72205-7101
Phone (501) 686-8000

9500 Kanis Rd
Suite 410
Little Rock, AR 72205-6377
Phone (501) 202-1500

9601 Baptist Health Dr
Suite 200
Little Rock, AR 72205-6342
Phone (501) 223-2860

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 1, 2022 Accepting new patients
Arkansas Health Group Surgery CurrentSince Sep 1, 2022 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Sep 4, 2025 Accepting new patients
University of Arkansas for Medical Sciences Surgery Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Sep 4, 2025 Accepting new patients
Arkansas Health Group Surgery CurrentSince Sep 1, 2022 Accepting new patients
Arkansas Health Group Past Accepting new patients

Locations

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

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9601 Baptist Health Dr
Ste 200
Little Rock, AR 72205
Phone (501) 224-5666

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

9500 Kanis Rd
Ste 410
Little Rock, AR 72205
Phone (501) 202-1500

9601 Baptist Health Dr
Ste 990
Little Rock, AR 72205
Phone (501) 224-1172

Interoperability endpoints

  • Direct secure messaging: kmudy212898@excellian.direct.allina.com
  • Direct secure messaging: kmudy601896@direct.baptist-healthar.org

Organizations & group practices 7

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 4

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": "1213488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1487814273",
    "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",
            "telephone_number": "501-812-7800",
            "fax_number": "501-812-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR STE 990",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056376",
            "telephone_number": "501-223-2860",
            "fax_number": "501-223-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDY",
        "first_name": "KAROL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-15",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "58985",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MN",
            "license": "58985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmudy212898@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "800 E 28th St Ste H2100",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554073723",
            "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.