NPIMap

Individual provider Active NPI

Aleobe Eruemulor, M.D.

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1538555248
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-11473 Issued in AR
Practice address
10301 Kanis Rd
Suite 1
Little Rock, AR 72205-6205
Phone
(501) 562-4838
Fax
(501) 562-1958
NPI assigned
Apr 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-11473 AR Primary

Addresses

Primary practice location

10301 Kanis Rd
Suite 1
Little Rock, AR 72205-6205

Mailing address

10301 Kanis Rd
Suite 1
Little Rock, AR 72205-6205
Phone (501) 562-4838

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
I20180725002923 AR Practitioner - Family Practice 2769798214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent Medical GroupGroup PAC ID 5698758803, 237 clinicians

Practice addresses (Care Compare)

10001 Lile Dr
Little Rock, AR 72205-6217
Phone (501) 227-8000

10301 Kanis Rd
Suite 1
Little Rock, AR 72205-6205
Phone (501) 562-4838

7709 Hwy 107
Sherwood, AR 72120-4661
Phone (501) 552-7269

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-11473ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
St Vincent Physician Clinics LLC Family Medicine Past Accepting new patients

Locations

10301 Kanis Rd
#1
Little Rock, AR 72205
Phone (501) 562-4838

16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888

15111 Highway 165
Scott, AR 72142
Phone (501) 552-7999

Interoperability endpoints

  • Direct secure messaging: aeruemulor456487@direct.stlukeshealth.org
  • Direct secure messaging: aleobe.eruemulor@svmgs.eclinicaldirectplus.com

Organizations & group practices 2

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 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": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1538555248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 KANIS RD",
            "address_2": "SUITE 1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056205",
            "telephone_number": "501-562-4838",
            "fax_number": "501-562-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 KANIS RD",
            "address_2": "SUITE 1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056205",
            "telephone_number": "501-562-4838",
            "fax_number": "501-562-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERUEMULOR",
        "first_name": "ALEOBE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-11473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.