Organization Active NPI

Arkansas Vein Care Clinics LLC

  • Internal Medicine Physician
  • Russellville, AR
National Provider Identifier
1508654070
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ARKANSAS VEIN CARE CLINICS LLC
Practice address
1600 W C PL
Russellville, AR 72801-2705
Phone
(501) 487-2002
Fax
(571) 293-2536
NPI assigned
Apr 25, 2025
Last updated
Apr 25, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ARKANSAS VEIN CARE CLINICS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Mr. Adnan Sadiq
Title
Ceo/Owner
Phone
(571) 206-5444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1600 W C PL
Russellville, AR 72801-2705

Mailing address

1600 W C PL
Russellville, AR 72801-2705
Phone (501) 487-2002

Other names 1

  • RUSSELLVILLE Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231031003881 AR Part B Supplier - Clinic/Group Practice 4385090026 Receives reassigned benefits from 2 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Conway, AR; Russellville, AR; Sherwood, AR; White Hall, AR

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Vein Care Clin LLC4 organizations share this tax ID, including this one
Part of
Arkansas Vein Care Clin LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1600 W C Pl
Russellville, AR 72801
Phone (479) 967-7717

NPI Registry JSON

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1508654070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W C PL",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012705",
            "telephone_number": "501-487-2002",
            "fax_number": "571-293-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W C PL",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012705",
            "telephone_number": "501-487-2002",
            "fax_number": "571-293-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS VEIN CARE CLINICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARKANSAS VEIN CARE CLINICS LLC",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "SADIQ",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "571-206-5444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RUSSELLVILLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.