Individual provider Active NPI

Gregg L Tarini, MD

  • Anesthesiology Physician
  • Little Rock, AR
National Provider Identifier
1508890484
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
E-3989 Issued in AR
Practice address
9601 Interstate 630 Exit 7
Little Rock, AR 72205-7202
Phone
(501) 202-2093
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X E-3989 AR Primary

Addresses

Primary practice location

9601 Interstate 630 Exit 7
Little Rock, AR 72205-7202

Mailing address

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211-4316

Other identifiers 1

IdentifierTypeStateIssuer
162226001MedicaidAR

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
I20061025000776 AR Practitioner - Anesthesiology 5496752909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Arkansas College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Anesthesia Associates PLLCGroup PAC ID 6406023142, 85 clinicians

Practice addresses (Care Compare)

1 Medical Park Dr
Benton, AR 72015-3353
Phone (501) 776-6000

1901 Encore Way
Bryant, AR 72019-8896
Phone (501) 326-6868

Hospital & facility affiliations

  • Saline Memorial Hospital Hospital, Benton, AR, CCN 040084
  • Arkansas Heart Hospital-Encore Hospital, Bryant, AR, CCN 040161

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Anesthesia Associates, PLLC. Anesthesiology CurrentSince May 6, 2017 Accepting new patients

Locations

1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000

1701 S Shackleford Rd
Little Rock, AR 72211
Phone (501) 219-7000

10301 Kanis Rd
Little Rock, AR 72205
Phone (501) 604-4151

Organizations & group practices 1

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 2

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1508890484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR",
            "address_2": "STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 INTERSTATE 630 EXIT 7",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057202",
            "telephone_number": "501-202-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARINI",
        "first_name": "GREGG",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E-3989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162226001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.