Individual provider Active NPI

Shyann Renfroe, M.D.

  • Diagnostic Radiology Physician
  • Little Rock, AR
National Provider Identifier
1649690777
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E-11515 Issued in AR
Practice address
8901 Carti Way
Little Rock, AR 72205-6523
Phone
(501) 906-3000
Fax
(501) 907-8367
NPI assigned
Apr 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X E-11515 AR Primary

Addresses

Primary practice location

8901 Carti Way
Little Rock, AR 72205-6523

Mailing address

500 S University Ave
Ste 600
Little Rock, AR 72205-5324

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
I20190607002145 AR Practitioner - Diagnostic Radiology 7911223474 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Arkansas College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Arkansas Radiation Therapy Institute IncGroup PAC ID 7810068400, 89 clinicians

Practice addresses (Care Compare)

5001 Bobo Rd
Pine Bluff, AR 71603-7205
Phone (501) 906-3044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-11515ARMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Arkansas Radiation Therapy Institute Inc Single Specialty Current Accepting new patients
University of Arkansas for Medical Sciences Single Specialty CurrentSince Jul 1, 2019 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Apr 3, 2023 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Apr 3, 2023 Accepting new patients
University of Arkansas for Medical Sciences Single Specialty CurrentSince Jul 1, 2019 Accepting new patients
University of Arkansas for Medical Sciences Single Specialty CurrentSince Jul 1, 2019 Accepting new patients

Locations

2500 Highway 65 S
Clinton, AR 72031
Phone (501) 745-7000

1601 N West Ave
El Dorado, AR 71730

8901 Carti Way
Little Rock, AR 72205
Phone 50190630003044

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

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

9601 Baptist Health Dr
Ste 106
Little Rock, AR 72205

3400 Springhill Dr
North Little Rock, AR 72117
Phone (501) 603-8894

5001 Bobo Rd
Pine Bluff, AR 71603

209 S Portland Ave
Russellville, AR 72801
Phone (479) 317-7010

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1649690777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE",
            "address_2": "STE 600",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 CARTI WAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056523",
            "telephone_number": "501-906-3000",
            "fax_number": "501-907-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENFROE",
        "first_name": "SHYANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E-11515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.