Individual provider Active NPI

Robert M Jarvis, MD

  • Specialist
  • Little Rock, AR
National Provider Identifier
1629163274
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E-3116 Issued in AR
Practice address
4 Executive Center CT
Little Rock, AR 72211-4487
Phone
(501) 448-0060
Fax
(501) 448-0060
NPI assigned
Oct 3, 2006
Last updated
Mar 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X E-3116 AR Primary

Addresses

Primary practice location

4 Executive Center CT
Little Rock, AR 72211-4487

Mailing address

4 Executive Center Court
Little Rock, AR 72223-9187
Phone (501) 448-0060

Other identifiers 7

IdentifierTypeStateIssuer
04070014400OtherARQUALCHOICE
159635526OtherARADDITIONAL MEDICAID
E3116OtherARTRICARE
P00195423OtherARRAILROAD MEDICARE
145837001MedicaidAR
5M1216738OtherARMEDICARE
5M121OtherARBCBS

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
I20040609001345 AR Practitioner - Psychiatry 4284617432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Arkansas College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arkansas Psychiatric Clinic, Professional AssociationGroup PAC ID 9931180411, 18 clinicians

Practice addresses (Care Compare)

4 Executive Ctr CT
Little Rock, AR 72211-4487
Phone (501) 448-0060

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Psychiatric Clinic, Professional Association CurrentSince Sep 4, 2007 Accepting new patients

Locations

4 Executive Center Ct
Little Rock, AR 72211
Phone (501) 448-0060

Interoperability endpoints

  • Direct secure messaging: robertjarvis@arpc.allscriptsdirect.net

Organizations & group practices 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1629163274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EXECUTIVE CENTER COURT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722239187",
            "telephone_number": "501-448-0060",
            "fax_number": "501-448-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EXECUTIVE CENTER CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114487",
            "telephone_number": "501-448-0060",
            "fax_number": "501-448-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "E-3116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "04070014400",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADDITIONAL MEDICAID",
            "identifier": "159635526",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "E3116",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00195423",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145837001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5M1216738",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5M121",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.