Michael Timothy Kittell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E-5801 Issued in AR

Practice address

11412 Huron LN
Little Rock, AR 72211

Phone

(501) 539-9100

Fax

(501) 204-6882

NPI assigned

Oct 16, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Centers Medical Clinic, LLC

  • Primary Care Clinic/Center
  • Little Rock, AR
  • NPI 1518625201
  Medicare reassignment NPD
• General Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • North Little Rock, AR
  • NPI 1386954873
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610

  AR

  Medicare reassignment NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  NPD
• Mabelvale Community Emergency Physicians

  • Emergency Medicine Physician
  • Fayetteville, AR
  • NPI 1063604007
  NPD (past)
• Petit Jean Emergency Physicians

  • Emergency Medicine Physician
  • Morrilton, AR
  • NPI 1316991359
  NPD (past)

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1659523124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26867",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722216800",
            "telephone_number": "501-539-9100",
            "fax_number": "501-204-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11412 HURON LN",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72211",
            "telephone_number": "501-539-9100",
            "fax_number": "501-204-6882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11415 Executive Center Dr",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "72211",
            "country_code": "US",
            "telephone_number": "501-224-5220",
            "fax_number": "501-228-9828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11412 Huron Ln",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "72211",
            "country_code": "US",
            "telephone_number": "501-366-0435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITTELL",
        "first_name": "MICHAEL",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-16",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-5801",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-5801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177560001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Jeffrey Kitchens, D.D.S.
• Clovis Andrew Kitchens, D.D.S. M.S
• Michael Anthony Kitchens, D.D.S.
• Nicholas Martin Kitchens, APRN
• Kitchens' Pediatric Dentistry P.a.
• Albert Lee Kittrell, M.D.
• Tara Catherine Kittrell, APN
• KJ Medical Management
• Janine Klar, MD
• KLCL Holding LLC

• Family Medicine Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.