Individual provider Active NPI

Edward L Pillow, MD

  • Internal Medicine Physician
  • Helena, AR
National Provider Identifier
1659387181
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E4870 Issued in AR
Practice address
101 Shirley Hicks Dr
Helena, AR 72342-8852
Phone
(870) 572-5996
Fax
(870) 572-4471
NPI assigned
Aug 1, 2006
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E4870 AR Primary
Pediatrics Physician 208000000X E4870 AR

Addresses

Primary practice location

101 Shirley Hicks Dr
Helena, AR 72342-8852

Mailing address

101 Shirley Hicks Dr
Helena, AR 72342-8852
Phone (870) 572-5996

Other identifiers 1

IdentifierTypeStateIssuer
162838001MedicaidAR

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
I20070113000037 AR Practitioner - Internal MedicinePractitioner - Pediatric Medicine 1153321294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Arkansas College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pillow Clinic, PLLCGroup PAC ID 7517958630, 4 clinicians

Practice addresses (Care Compare)

101 Shirley Hicks Dr
Helena, AR 72342-8852
Phone (870) 572-5996

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E4870ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pillow Clinic, PLLC Internal Medicine CurrentSince Aug 1, 2006 Accepting new patients
Delta Dermatology and Skin Cancer Specialists, P.a. PastSince Jul 30, 2007 Accepting new patients

Locations

101 Shirley Hicks Dr
Helena, AR 72342
Phone (870) 572-5996

810B Newman Dr
Helena, AR 72342
Phone (870) 338-7494

1008 W Main St
Marvell, AR 72366
Phone (870) 735-3842

Interoperability endpoints

  • Direct secure messaging: edward.pillow@pcpllc.eclinicaldirectplus.com
  • Direct secure messaging: npillow@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pillow Clinic, PLLCHelena, AR, CCN 043861 Rural health clinic 5% Or Greater Direct Ownership Interest (25%)
Corporate Officer (25%)
Operational/Managerial Control (25%)
Sep 1, 2006
Sep 1, 2006
Sep 1, 2006

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 5

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1659387181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SHIRLEY HICKS DR",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723428852",
            "telephone_number": "870-572-5996",
            "fax_number": "870-572-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SHIRLEY HICKS DR",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723428852",
            "telephone_number": "870-572-5996",
            "fax_number": "870-572-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLOW",
        "first_name": "EDWARD",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E4870",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E4870",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162838001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, AR

Sources for this page

Verify at the official NPI Registry.