Alexander Scott Kaczenski, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E-11141 Issued in AR

Practice address

9601 Baptist Health Dr
Little Rock, AR 72205-6321

Phone

(501) 851-7402

Fax

(501) 851-4753

NPI assigned

Apr 1, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Internal Medicine

Education

University of Arkansas College of Medicine, 2016

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)

Hospital & facility affiliations

• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
• Saline Memorial Hospital Hospital, Benton, AR, CCN 040084
• Baptist Health Medical Center-Drew County Hospital, Monticello, AR, CCN 040051
• South Arkansas Regional Hospital LLC Hospital, El Dorado, AR, CCN 040088
• Baptist Health Medical Center- Conway Hospital, Conway, AR, CCN 040154

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Arkansas Health Group

  • Internal Medicine Physician
  • Maumelle, AR
  • NPI 1932118890
  Medicare reassignment Care Compare group NPD
• Arkansas Health Group

  • Surgery Physician
  • Stuttgart, AR
  • NPI 1952840555
  NPD
• Network of Wellness, LLC

  • Community/Behavioral Health Agency
  • Little Rock, AR
  • NPI 1790928539
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682
  Care Compare affiliation
• Baptist Health

  • General Acute Care Hospital
  • Monticello, AR
  • NPI 1962283192
  Care Compare affiliation
• Conway Community Services

  • General Acute Care Hospital
  • Conway, AR
  • NPI 1285005140
  Care Compare affiliation
• Saline Hospital LLC

  • General Acute Care Hospital
  • Benton, AR
  • NPI 1235111071
  Care Compare affiliation
• South Arkansas Regional Hospital LLC

  • General Acute Care Hospital
  • El Dorado, AR
  • NPI 1780375592
  Care Compare affiliation

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1629431192",
    "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": "501-812-7800",
            "fax_number": "501-812-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056321",
            "telephone_number": "501-851-7402",
            "fax_number": "501-851-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZENSKI",
        "first_name": "ALEXANDER",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-11141",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanine Marie Justiss, CRNA
• Barbara Ann Justus, M.A., M.S.
• Margaret Justus, APN
• Jyrissa Robinson & Co LLC
• K & B Transportation LLC
• Gregory Stephen Kaczenski, M.D.
• Michael Kaczkowski
• Bhadresh Kadakia, MD
• Mustafa Kadhim
• Brad Kaemmerling, MD

• Internal Medicine Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.