Individual provider Active NPI

Nathaniel H Smith, M.D.

  • Infectious Disease Physician
  • Little Rock, AR
National Provider Identifier
1649240912
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
E3425 Issued in AR
Practice address
4815 W. Markham St.,
Slot 52
Little Rock, AR 72205-3867
Phone
(501) 661-2919
Fax
(501) 661-2240
NPI assigned
Jan 26, 2006
Last updated
Feb 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X E3425 AR Primary

Addresses

Primary practice location

4815 W. Markham St.,
Slot 52
Little Rock, AR 72205-3867

Mailing address

4815 W. Markham St.,
Slot 52
Little Rock, AR 72205
Phone (501) 661-2919

Other identifiers 1

IdentifierTypeStateIssuer
148471001MedicaidAR

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
I20040915001042 AR Practitioner - Infectious DiseasePractitioner - Internal Medicine 9032186341 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E3425ARMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Apr 4, 2017 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Apr 4, 2017 Accepting new patients
Infectious Disease Resource Group LLP Infectious Disease PastSince Apr 15, 1999 Accepting new patients
State of Arkansas PastSince May 5, 2013 Accepting new patients

Locations

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

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

Organizations & group practices 4

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1649240912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 W. MARKHAM ST.,",
            "address_2": "SLOT 52",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-661-2919",
            "fax_number": "501-661-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 W. MARKHAM ST.,",
            "address_2": "SLOT 52",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053867",
            "telephone_number": "501-661-2919",
            "fax_number": "501-661-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NATHANIEL",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AR",
            "license": "E3425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148471001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.