NPIMap

Individual provider Active NPI

Anil Kumar Kopparapu, MD

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1487897401
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-9748 Issued in AR
Practice address
4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone
(501) 686-8000
Fax
(501) 526-6562
NPI assigned
Apr 7, 2009
Last updated
Aug 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 48693 TN
Family Medicine Physician 207Q00000X E-9748 AR Primary
Hospitalist Physician 208M00000X 48693 TN

Addresses

Primary practice location

4301 W Markham St # 783
Little Rock, AR 72205-7101

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160601000872 AR Practitioner - Family Practice 5991956765 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthstar Physicians Practice Management PLLCGroup PAC ID 9133523608, 14 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

1629 Airport Rd
Suite B
Hot Springs, AR 71913-8069
Phone (501) 767-0075

1661 Airport Rd
Suite D
Hot Springs, AR 71913-8184
Phone (501) 625-7500

1910 Malvern Ave
Hot Springs, AR 71901-7752
Phone (501) 321-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-9748ARMDFamily Medicine Physician
48693TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians Practice Management PLLC Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Ipc Pac Healthcare Services of Missouri Inc Hospitalist CurrentSince Sep 27, 2023 Accepting new patients
Southeastern Emergency Physicians LLC Hospitalist CurrentSince Sep 25, 2023 Accepting new patients
NV Pacs 2 LLC Hospitalist CurrentSince Sep 27, 2023 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince May 6, 2016 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Emergency Staffing Solutions Region III CurrentSince Jan 1, 2023 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC CurrentSince Sep 1, 2021 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Family Medicine Current Accepting new patients
HCC of Magnolia LLC Hospitalist CurrentSince Jan 1, 2023 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC PastSince Sep 1, 2021 Accepting new patients

Locations

120 Adcock Rd
#A
Hot Springs National Park, AR 71913
Phone (501) 651-4500

1629 Airport Rd
Ste B
Hot Springs National Park, AR 71913
Phone (501) 767-0075

1661 Airport Rd
Ste D
Hot Springs National Park, AR 71913
Phone (501) 547-5718

1661 Airport Rd
Ste F
Hot Springs National Park, AR 71913
Phone (501) 651-4300

1910 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 321-1000

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

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

5720 W Markham St
Little Rock, AR 72205
Phone (501) 305-3153

8701 Riley Dr
Little Rock, AR 72205
Phone (501) 224-2700

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

Interoperability endpoints

  • Direct secure messaging: anil.kopparapu.1@31808.direct.athenahealth.com

Organizations & group practices 11

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 11

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": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1487897401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPPARAPU",
        "first_name": "ANIL",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "48693",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-9748",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "48693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.