Active NPI
Arkansas Vein Care Clinics LLC
- Internal Medicine Physician
- Russellville, AR
National Provider Identifier
1508654070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2025
- Organization subpart
- Yes
- Parent organization
- ARKANSAS VEIN CARE CLINICS LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Internal Medicine Physician
- Conway, AR
- NPI 1033085899
O20231031003881
-
- Internal Medicine Physician
- Sherwood, AR
- NPI 1518748367
O20231031003881
-
- Internal Medicine Physician
- White Hall, AR
- NPI 1942184353
O20231031003881
National Provider Directory
National Provider Directory- Tax ID family
- Arkansas Vein Care Clin LLC
- 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.
-
- Internal Medicine Physician
- Conway, AR
- NPI 1033085899
-
- Internal Medicine Physician
- Sherwood, AR
- NPI 1518748367
-
- Internal Medicine Physician
- White Hall, AR
- NPI 1942184353
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
- Arkansas Liver and Gastroenterology, P.a.
- Arkansas Nephrology Services, LTD. (River Valley Kidney Center)
- Arkansas Renal Group PA (Russellville Nephrology)
- Arkansas Urology, P.a.
- Arkansas Valley Anesthesia Associates, P. a.
- Arkansas Wound & Wellness Clinic LLC
- Charles Armstrong
- Krystle Danielle Armstrong, MHPP
- Melinda L Arnold, LPN
- Daniela Arrizon
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.