Active NPI
Sabeeda Majid Kadavath, MD
- Interventional Cardiology Physician
- Russellville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- E-15955
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| St Bernards Physician Clinics, Inc. | Current | Accepting new patients | |
| St Marys Physician Services, LLC | Current | Accepting new patients | |
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| St Mary'S Physician Services LLC | Current | 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
- sabeeda.kadavath.1@2433.direct.athenahealth.com
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Russellville, AR
- NPI 1063626117
-
- Diagnostic Radiology Physician
- Jonesboro, AR
- NPI 1780546051
-
- Internal Medicine Physician
- Jonesboro, AR
- NPI 1407577216
-
- Interventional Cardiology Physician
- Russellville, AR
- NPI 1720356207
Interventional Cardiology
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1558653212
Hospital
-
- Psychiatric Hospital Unit
- Little Rock, AR
- NPI 1710442801
Hospital
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1780684431
Hospital
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
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
- CHI-St Vincent Infirmary
- Arkansas Heart Hospital, LLC
- Dardanelle Regional Medical Center
- Johnson Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 17 |
| Pacemaker insertion or repair | 1-10 |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.