NPIMap

Individual provider Active NPI

Sudarone Thihalolipavan, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Little Rock, AR
National Provider Identifier
1528220050
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
E9729 Issued in AR
Practice address
7 Shackleford West Blvd
Little Rock, AR 72211-3714
Phone
(501) 664-5860
Fax
(501) 664-0889
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X E9729 AR
Internal Medicine Physician 207R00000X E9729 AR
Clinical Cardiac Electrophysiology Physician 207RC0001X E9729 AR Primary

Addresses

Primary practice location

7 Shackleford West Blvd
Little Rock, AR 72211-3714

Mailing address

13415 Christopher Drive
Little Rock, AR 72212
Phone (917) 502-5809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160725002767 AR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6406020940 Reassigns benefits to 2 organizations
I20201230000777 AZ Practitioner - Cardiac Electrophysiology 6406020940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swarup LLCGroup PAC ID 9638209760, shared by 2 NPIs, 5 clinicians

Practice addresses (Care Compare)

1848 E Thomas Rd
Suite 100
Phoenix, AZ 85016-8103
Phone (602) 456-2342

Hospital & facility affiliations

  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024
  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Flagstaff Medical Center Hospital, Flagstaff, AZ, CCN 030023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair43
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E9729ARMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swarup LLC Cardiovascular Disease CurrentSince Aug 30, 2023 Accepting new patients
Swarup LLC Clinical Cardiac Electrophysiology CurrentSince Aug 30, 2023 Accepting new patients
Arkansas Heart Hospital Rural Health Services, LLC Cardiovascular Disease CurrentSince Aug 1, 2016 Accepting new patients
Arkansas Heart Hospital, LLC Cardiovascular Disease CurrentSince Jul 1, 2016 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Jul 1, 2016 Accepting new patients
Heart Health Center, LLC PastSince Feb 15, 2023 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Heart Prime LLC Clinical Cardiac Electrophysiology PastSince Aug 28, 2025 Accepting new patients

Locations

7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671

3645 S Rome St
Ste 201
Gilbert, AZ 85297
Phone (480) 748-9149

9401 W Thunderbird Rd
Ste 155
Peoria, AZ 85381
Phone (480) 659-7147

13760 N 93rd Ave
Ste 107
Peoria, AZ 85381
Phone (623) 876-3952

9165 W Thunderbird Rd
Ste 201
Peoria, AZ 85381
Phone (623) 876-8420

1848 E Thomas Rd
Ste 100
Phoenix, AZ 85016
Phone (602) 688-2342

1958 Commerce Center Cir
Prescott, AZ 86301

2852 N Navajo Dr
Ste C
Prescott Valley, AZ 86314

Interoperability endpoints

  • Direct secure messaging: sudarone.thihalolipavan.1@4843.direct.athenahealth.com

Organizations & group practices 8

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 10

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1528220050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13415 CHRISTOPHER DRIVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72212",
            "telephone_number": "917-502-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SHACKLEFORD WEST BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113714",
            "telephone_number": "501-664-5860",
            "fax_number": "501-664-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIHALOLIPAVAN",
        "first_name": "SUDARONE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "E9729",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E9729",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AR",
            "license": "E9729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.