Individual provider Active NPI

Nathan Schandevel, M.D.

  • Family Medicine Physician
  • North Little Rock, AR
National Provider Identifier
1699162149
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-17773 Issued in AR
Practice address
3201 Springhill Dr Ste 300
North Little Rock, AR 72117-2909
Phone
(501) 753-4132
Fax
(501) 753-4176
NPI assigned
Apr 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-17773 AR Primary
Family Medicine Physician 207Q00000X 04-41285 KS

Addresses

Primary practice location

3201 Springhill Dr Ste 300
North Little Rock, AR 72117-2909

Mailing address

212 Main St
Minneola, KS 67865-8511
Phone (620) 885-4202

Other practice location 1

212 Main St
Minneola, KS 67865
Phone (620) 885-4264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181017001204 KS Practitioner - Family Practice 9638474612 Reassigns benefits to 2 organizations
I20241125003983 AR Practitioner - Family Practice 9638474612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minneola District Hospital NBR 2Group PAC ID 1355252545, shared by 5 NPIs, 31 clinicians
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians
General Emergency Physicians IncGroup PAC ID 7618148800, 14 clinicians

Practice addresses (Care Compare)

212 Main St
Minneola, KS 67865-8511
Phone (620) 885-4264

2200 Summerlon Cir
Dodge City, KS 67801-2905
Phone (620) 371-7300

222 Main St
Minneola, KS 67865-8511
Phone (620) 885-4202

3201 Springhill Drive
300 Baptist Health Family Medicine Residenc
North Little Rock, AR 72117-2909
Phone (501) 753-4132

5201 Northshore Dr
North Little Rock, AR 72118-5312
Phone (877) 918-7020

Hospital & facility affiliations

  • Baptist Health Home Health-LR Home health agency, Little Rock, AR, CCN 047090
  • Arkansas Surgical Hospital Hospital, No Little Rock, AR, CCN 040147
  • Minneola District Hospital Hospital, Minneola, KS, CCN 171368
  • Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-17773ARMDFamily Medicine Physician
04-41285KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Dec 15, 2024 Accepting new patients
Minneola District Hospital NBR 2 Family Medicine CurrentSince Oct 5, 2018 Accepting new patients
Arkansas Health Group Family Medicine CurrentSince Dec 15, 2024 Accepting new patients
Minneola District Hospital NBR 2 Family Medicine Current Accepting new patients
Minneola District Hospital NBR 2 Current Accepting new patients
General Emergency Physicians, Inc. CurrentSince Dec 15, 2024 Accepting new patients
Minneola District Hospital NBR 2 CurrentSince Oct 5, 2018 Accepting new patients
Arkansas Health Group Family Medicine Past Accepting new patients

Locations

1201 Military Rd
Ste 2
Benton, AR 72015

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

5201 Northshore Dr
North Little Rock, AR 72118
Phone (501) 748-8000

3201 Springhill Dr
Ste 30
North Little Rock, AR 72117
Phone (501) 753-4132

3201 Springhill Dr
Ste 300
North Little Rock, AR 72117
Phone (501) 753-4132

2200 Summerlon Cir
Ste A
Dodge City, KS 67801
Phone (620) 371-7300

212 Main St
Minneola, KS 67865
Phone (620) 885-4202

222 Main St
#97
Minneola, KS 67865
Phone (316) 885-4202

222 Main St
Minneola, KS 67865
Phone (620) 885-4202

Interoperability endpoints

  • Direct secure messaging: nschandevel770466@direct.baptist-healthar.org

Organizations & group practices 8

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 4

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": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1699162149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MAIN ST",
            "city": "MINNEOLA",
            "state": "KS",
            "postal_code": "678658511",
            "telephone_number": "620-885-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 SPRINGHILL DR STE 300",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172909",
            "telephone_number": "501-753-4132",
            "fax_number": "501-753-4176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Main St",
            "address_purpose": "LOCATION",
            "city": "Minneola",
            "state": "KS",
            "postal_code": "67865",
            "country_code": "US",
            "telephone_number": "620-885-4264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHANDEVEL",
        "first_name": "NATHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-17773",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-41285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.