Individual provider Active NPI

Homayoun Pournik

  • Surgery Physician
  • Little Rock, AR
National Provider Identifier
1609172097
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
T2026-068 Issued in AR
Practice address
12600 Cantrell Rd Ste 100
Little Rock, AR 72223-1604
Phone
(501) 224-1044
NPI assigned
Feb 1, 2011
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X A146226 CA
Surgery Physician 208600000X 2018-01729 NC
Surgery Physician 208600000X T2026-068 AR Primary

Addresses

Primary practice location

12600 Cantrell Rd Ste 100
Little Rock, AR 72223-1604

Mailing address

12600 Cantrell Rd Ste 100
Little Rock, AR 72223-1604
Phone (501) 224-1044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20161221002107 CA Practitioner - General SurgeryPractitioner - Other (Physician) 7012145899 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A146226CAMDTransplant Surgery Physician
T2026-068ARMDSurgery Physician
2018-01729NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1609172097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 CANTRELL RD STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231604",
            "telephone_number": "501-224-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 CANTRELL RD STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231604",
            "telephone_number": "501-224-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURNIK",
        "first_name": "HOMAYOUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-01",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "CA",
            "license": "A146226",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2018-01729",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "T2026-068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.