NPIMap

Individual provider Active NPI

Poornachand Veerapaneni, M.D.

  • Epilepsy Physician
  • Little Rock, AR
National Provider Identifier
1619408259
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Epilepsy PhysicianTaxonomy code 2084E0001X
License
E-14511 Issued in AR
Practice address
9600 Baptist Health Dr Ste 320
Little Rock, AR 72205-6322
Phone
(501) 227-0421
Fax
(501) 227-0105
NPI assigned
Mar 24, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Epilepsy Physician 2084E0001X E-14511 AR Primary

Addresses

Primary practice location

9600 Baptist Health Dr Ste 320
Little Rock, AR 72205-6322

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 227-0421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MT2 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
I20220726003651 AR Practitioner - Neurology 4587931001 Reassigns benefits to 1 organization
I20241105001055 MT Practitioner - Neurology 4587931001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

9600 Baptist Health Dr
Suite 320
Little Rock, AR 72205-6322
Phone (501) 227-0421

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Jul 18, 2022 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Aug 29, 2024 Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince Aug 29, 2024 Accepting new patients
Arkansas Health Group Neurology CurrentSince Jul 18, 2022 Accepting new patients
SCL Health Montana CurrentSince Aug 29, 2024 Accepting new patients
SCL Health Medical Group - Billings LLC Current Accepting new patients
SCL Health Montana CurrentSince Aug 29, 2024 Accepting new patients
St. Vincent Healthcare Past Accepting new patients

Locations

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

9600 Baptist Health Dr
Ste 320
Little Rock, AR 72205

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

9601 Baptist Health Dr
Ste 250
Little Rock, AR 72205
Phone (501) 217-4910

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

1041 N 29th St
Billings, MT 59101
Phone (303) 237-5577

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

Interoperability endpoints

  • Direct secure messaging: pveerapaneni596489@direct.baptist-healthar.org

Organizations & group practices 8

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.

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": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1619408259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114393",
            "telephone_number": "501-227-0421",
            "fax_number": "501-227-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 BAPTIST HEALTH DR STE 320",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056322",
            "telephone_number": "501-227-0421",
            "fax_number": "501-227-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEERAPANENI",
        "first_name": "POORNACHAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-24",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "AR",
            "license": "E-14511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.