Individual provider Active NPI

Sabeeda Majid Kadavath, MD

  • Interventional Cardiology Physician
  • Russellville, AR
National Provider Identifier
1538577333
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
E-15955 Issued in AR
Practice address
1808 W Main St
Russellville, AR 72801-2724
Phone
(470) 890-2474
NPI assigned
Jul 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X E-15955 AR
Interventional Cardiology Physician 207RI0011X E-15955 AR Primary

Addresses

Primary practice location

1808 W Main St
Russellville, AR 72801-2724

Mailing address

201 E Oak Ave
Jonesboro, AR 72401-4163
Phone (347) 536-9980

Other practice location 1

2220 Pierce Ave
Nashville, TN 37232-5504
Phone (615) 936-1745

Other practice location 2

201 E Oak Ave
Jonesboro, AR 72401-4163
Phone (347) 536-9980

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL stbernardsgo.com

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
I20221109002981 AR Practitioner - Cardiovascular Disease (Cardiology) 0648548115 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics Inc CurrentSince Mar 1, 2024 Accepting new patients
St Bernards Physician Clinics, Inc. CurrentSince Mar 1, 2024 Accepting new patients
St Marys Physician Services, LLC CurrentSince Nov 25, 2024 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
St Mary'S Physician Services LLC CurrentSince Nov 25, 2024 Accepting new patients
St Marys Physician Services, LLC Interventional Cardiology Past Accepting new patients

Locations

1714 State Highway 22 W
Dardanelle, AR 72834
Phone (479) 229-2566

8970 Market St
Dover, AR 72837
Phone (479) 331-3880

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

201 E Oak Ave
Jonesboro, AR 72401

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178

2205 W Main St
Russellville, AR 72801
Phone (479) 890-2654

101 Skyline Dr
Russellville, AR 72801
Phone (479) 968-2345

Interoperability endpoints

  • Direct secure messaging: sabeeda.kadavath.1@2433.direct.athenahealth.com
  • Direct secure messaging: smkadavath@sbpc.medalliesdirect.net

Organizations & group practices 6

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 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Physician Services LLC 49 clinicians

Practice addresses (Care Compare)

2205 W Main St
Cardiology Assoc of North Central Arkansas
Russellville, AR 72801-2759
Phone (479) 968-4311

Hospital & facility affiliations

  • St Marys Regional Medical Center Hospital, Russellville, AR, CCN 040041
  • CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007
  • Arkansas Heart Hospital, LLC Hospital, Little Rock, AR, CCN 040134
  • Dardanelle Regional Medical Center Hospital, Dardanelle, AR, CCN 041302
  • Johnson Regional Medical Center Hospital, Clarksville, AR, CCN 040002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17
Pacemaker insertion or repair1-10

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1538577333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E OAK AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014163",
            "telephone_number": "347-536-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012724",
            "telephone_number": "470-890-2474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 Pierce Ave",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372325504",
            "country_code": "US",
            "telephone_number": "615-936-1745",
            "fax_number": "718-579-4836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724014163",
            "country_code": "US",
            "telephone_number": "347-536-9980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KADAVATH",
        "first_name": "SABEEDA",
        "middle_name": "MAJID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "E-15955",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AR",
            "license": "E-15955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "stbernardsgo.com",
            "affiliation": "N",
            "address_1": "St Bernards Medical Center",
            "address_2": "225 E Washington Ave",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "72401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

Verify at the official NPI Registry.