NPIMap

Individual provider Active NPI

Kaylin Cesarski, DO

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1568090959
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-16144 Issued in AR
Practice address
108 N Shackleford Rd
Little Rock, AR 72211-2840
Phone
(501) 900-8763
Fax
(479) 437-0001
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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-16144 AR Primary

Addresses

Primary practice location

108 N Shackleford Rd
Little Rock, AR 72211-2840

Mailing address

108 N Shackleford Rd
Little Rock, AR 72211-2840
Phone (501) 900-8763

Other practice location 1

4020 Richards Rd Ste A
North Little Rock, AR 72117-2744
Phone (501) 900-8763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MS2 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
I20230705003085 AR Practitioner - Family Practice 3476975335 Reassigns benefits to 1 organization
I20231101000831 MS Practitioner - Family Practice 3476975335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Treatment Centers of America PLLC 73 clinicians

Practice addresses (Care Compare)

108 N Shackeford Rd
Little Rock, AR 72211-2840
Phone (501) 712-2571

1907 Lisa Dr Ext
Greenville, MS 38703-4429
Phone (501) 712-2571

Hospital & facility affiliations

  • Elite Home Health Home health agency, Little Rock, AR, CCN 047028
  • Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-16144ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Treatment Centers of America PLLC CurrentSince Aug 1, 2023 Accepting new patients
Pain Treatment Centers of America, PLLC Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Pain Treatment Centers of America, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Pain Treatment Centers of America, PLLC Family Medicine Past Accepting new patients

Locations

1215 Sidney St
Batesville, AR 72501
Phone (870) 262-1541

108 N Shackleford Rd
Little Rock, AR 72211
Phone (501) 346-8116

4509 E McCain Blvd
North Little Rock, AR 72117
Phone (501) 945-4200

4020 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 900-8763

1600 S Colorado St
Greenville, MS 38703
Phone (662) 336-1268

1907 Lisa Drive Ext
Greenville, MS 38703
Phone (662) 334-2929

Interoperability endpoints

  • Direct secure messaging: kaylin.cesarski@3912.securemail.prognocis.com

Organizations & group practices 23

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 23

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1568090959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N SHACKLEFORD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112840",
            "telephone_number": "501-900-8763",
            "fax_number": "479-437-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N SHACKLEFORD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112840",
            "telephone_number": "501-900-8763",
            "fax_number": "479-437-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4020 Richards Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721172744",
            "country_code": "US",
            "telephone_number": "501-900-8763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CESARSKI",
        "first_name": "KAYLIN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-16144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.