Individual provider Active NPI

Santanu Samanta, MD

  • Radiation Oncology Physician
  • North Little Rock, AR
National Provider Identifier
1649764283
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
E-15152 Issued in AR
Practice address
3401 Springhill Drive
Baptist Health Springhill Medical Plaza First Floor
North Little Rock, AR 72117
Phone
(501) 202-3000
NPI assigned
Jun 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X E-15152 AR Primary

Addresses

Primary practice location

3401 Springhill Drive
Baptist Health Springhill Medical Plaza First Floor
North Little Rock, AR 72117

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 1

4301 W Markham St # 771
Little Rock, AR 72205-7101
Phone (240) 760-0433

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
I20220909001541 AR Practitioner - Radiation Oncology 0840538161 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Arkansas for Medical SciencesGroup PAC ID 4082528955, shared by 29 NPIs, 1,159 clinicians
Proton International Arkansas, LLCGroup PAC ID 3577924398, 8 clinicians

Practice addresses (Care Compare)

1 Childrens Way
Suite 653
Little Rock, AR 72202-3571
Phone (501) 364-1100

3401 Springhill Dr
Suite 130
North Little Rock, AR 72117-2925
Phone (501) 214-2460

3900 W Capitol Ave
St 200
Little Rock, AR 72205-5502
Phone (667) 225-3130

4301 W Markam St
Little Rock, AR 72205-7101
Phone (501) 686-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-15152ARMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Aug 1, 2022 Accepting new patients
BH-Uams Oncology Services, LLC CurrentSince Aug 1, 2022 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Aug 1, 2022 Accepting new patients
Proton International Arkansas, LLC Radiation Oncology CurrentSince Jun 12, 2023 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Aug 1, 2022 Accepting new patients
BH-Uams Oncology Services, LLC Past Accepting new patients

Locations

3900 W Capitol Ave
Ste 200
Little Rock, AR 72205
Phone (630) 649-4060

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

1 Childrens Way
Ste 653
Little Rock, AR 72202

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

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

4301 W Markham St
#771
Little Rock, AR 72205
Phone (501) 526-7458

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

3900 W Capitol Ave
#200
Little Rock, AR 72205

3401 Springhill Dr
Fl First
North Little Rock, AR 72117
Phone (501) 202-3000

3401 Springhill Dr
Ste 130
North Little Rock, AR 72117
Phone (501) 214-2460

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.

Hospital & facility affiliations 1

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1649764283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 SPRINGHILL DRIVE",
            "address_2": "BAPTIST HEALTH SPRINGHILL MEDICAL PLAZA FIRST FLOOR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72117",
            "telephone_number": "501-202-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 771",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "240-760-0433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMANTA",
        "first_name": "SANTANU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AR",
            "license": "E-15152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.