NPIMap

Individual provider Active NPI

Rawan T Al-Odat, M.D

  • Hospitalist Physician
  • Hot Springs, AR
National Provider Identifier
1649653544
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
E-13224 Issued in AR
Practice address
300 Werner St.
CHI St. Vincent
Hot Springs, AR 71913
Phone
(505) 622-1000
NPI assigned
Jul 9, 2015
Last updated
Aug 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X E-13224 AR Primary

Addresses

Primary practice location

300 Werner St.
CHI St. Vincent
Hot Springs, AR 71913

Mailing address

9125 Copper Ave NE
Apt. 516
Albuquerque, NM 87123
Phone (505) 353-1041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200811000461 AR Practitioner - Hospitalist 8325355654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Mercy LN
Suite 404
Hot Springs, AR 71913-6441
Phone (501) 609-2222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-13224ARMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHI St. Vincent Medical Group Hot Springs CurrentSince Aug 1, 2020 Accepting new patients

Locations

1 Mercy Ln
Ste 301
Hot Springs, AR 71913
Phone (501) 622-6556

1 Mercy Ln
Ste 201
Hot Springs National Park, AR 71913
Phone (501) 321-2229

1 Mercy Ln
Ste 404
Hot Springs National Park, AR 71913
Phone (501) 321-1026

1 Mercy Ln
Ste 405
Hot Springs National Park, AR 71913
Phone (501) 622-1939

300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000

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.

Hospital & facility affiliations 10

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1649653544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9125 COPPER AVE NE",
            "address_2": "APT. 516",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87123",
            "telephone_number": "505-353-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WERNER ST.",
            "address_2": "CHI ST. VINCENT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71913",
            "telephone_number": "505-622-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-ODAT",
        "first_name": "RAWAN",
        "middle_name": "T",
        "name_prefix": "Miss",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AR",
            "license": "E-13224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.