NPIMap

Individual provider Active NPI

Manojna Konda

  • Hematology & Oncology Physician
  • Little Rock, AR
National Provider Identifier
1588026983
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
E-12180 Issued in AR
Practice address
4301 W Markham St # 508
Little Rock, AR 72205-7101
Phone
(501) 686-8530
Fax
(501) 686-8532
NPI assigned
Mar 24, 2016
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-12180 AR
Hematology & Oncology Physician 207RH0003X E-12180 AR Primary

Addresses

Primary practice location

4301 W Markham St # 508
Little Rock, AR 72205-7101

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 1

9500 Kanis Rd # 500
Little Rock, AR 72205-6324
Phone (501) 202-4715

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
I20190606002645 AR Practitioner - Internal MedicinePractitioner - Hospitalist 7214220086 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist HealthGroup PAC ID 0648177949, 106 clinicians

Practice addresses (Care Compare)

4301 W Markam St
Little Rock, AR 72205-7101

9500 Kanis Rd
Little Rock, AR 72205-6324
Phone (501) 202-4715

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2019 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2019 Accepting new patients
Baptist Health CurrentSince Aug 1, 2023 Accepting new patients
University of Arkansas for Medical Sciences Internal Medicine Current Accepting new patients
Baptist Health Hematology & Oncology CurrentSince Aug 1, 2023 Accepting new patients

Locations

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

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

4301 W Markham St
#508
Little Rock, AR 72205
Phone (501) 686-8511

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

9500 Kanis Rd
Ste 500
Little Rock, AR 72205
Phone (501) 202-4715

104 W Taylor St
Sparkman, AR 71763
Phone (870) 678-2226

Interoperability endpoints

  • Direct secure messaging: mkonda693839@direct.baptist-healthar.org

Organizations & group practices 5

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 5

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1588026983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 508",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8530",
            "fax_number": "501-686-8532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Kanis Rd # 500",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056324",
            "country_code": "US",
            "telephone_number": "501-202-4715",
            "fax_number": "501-202-4755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONDA",
        "first_name": "MANOJNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-12180",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AR",
            "license": "E-12180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.