Individual provider Active NPI

Neadum J. Odum III, M.D.

  • Anesthesiology Physician
  • Little Rock, AR
National Provider Identifier
1548468077
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
E-7195 Issued in AR
Practice address
8901 Carti Way
Little Rock, AR 72205-6523
Phone
(501) 906-3000
Fax
(501) 907-8367
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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-7195 AR Primary

Addresses

Primary practice location

8901 Carti Way
Little Rock, AR 72205-6523

Mailing address

PO Box 55050
Little Rock, AR 72215-5050
Phone (501) 906-3000

Other practice location 1

2 Saint Vincent Cir
Little Rock, AR 72205-5423
Phone (501) 664-4532 ext. 115

Other identifiers 1

IdentifierTypeStateIssuer
192485001MedicaidAR

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
I20120626000366 AR Practitioner - AnesthesiologyPractitioner - Pain Management 7517122575 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical GroupGroup PAC ID 5698758803, 237 clinicians

Practice addresses (Care Compare)

2 Saint Vincent Cir
Little Rock, AR 72205-5423
Phone (501) 552-4666

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

8901 Carti Way
Little Rock, AR 72205-6523
Phone (501) 906-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Regional Anesthesiology Consultants PLLC Anesthesiology CurrentSince Jan 1, 2014 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince May 1, 2023 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Oct 31, 2018 Accepting new patients
Arkansas Children'S Hospital CurrentSince Oct 31, 2018 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince May 1, 2023 Accepting new patients
University of Arkansas for Medical Sciences Anesthesiology Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Oct 31, 2018 Accepting new patients
St. Vincent Medical Group CurrentSince May 8, 2023 Accepting new patients
Arkansas Childrens Professional Services Organization LLC CurrentSince Jul 1, 2025 Accepting new patients
University of Arkansas for Medical Sciences Anesthesiology Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Oct 31, 2018 Accepting new patients
Arkansas Childrens Hospital CurrentSince Oct 31, 2018 Accepting new patients

Locations

2500 Highway 65 S
Clinton, AR 72031
Phone (501) 745-7000

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1811 Rahling Rd
Ste 120
Little Rock, AR 72223
Phone (501) 214-2360

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

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

500 S University Ave
Ste 500
Little Rock, AR 72205
Phone (501) 320-1101

6119 Midtown Ave
Ste 201
Little Rock, AR 72205
Phone 5016644532113

9601 Baptist Health Dr
Ste 106
Little Rock, AR 72205

8901 Carti Way
Little Rock, AR 72205
Phone 50190630003044

500 S University Ave
Ste 505
Little Rock, AR 72205
Phone (501) 588-1100

4 Hospital Dr
Morrilton, AR 72110
Phone (501) 977-2300

2215 Wildwood Ave
Sherwood, AR 72120
Phone (501) 522-7100

Organizations & group practices 13

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.

View all 13

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1548468077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55050",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722155050",
            "telephone_number": "501-906-3000",
            "fax_number": "501-907-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 CARTI WAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056523",
            "telephone_number": "501-906-3000",
            "fax_number": "501-907-8367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Saint Vincent Cir",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722055423",
            "country_code": "US",
            "telephone_number": "501-664-4532 x115",
            "fax_number": "501-663-4335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODUM",
        "first_name": "NEADUM",
        "middle_name": "J.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E-7195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192485001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.