NPIMap

Individual provider Active NPI

Kevin Jerome Collins, MD

  • Physical Medicine & Rehabilitation Physician
  • North Little Rock, AR
National Provider Identifier
1699730549
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
N8372 Issued in AR
Practice address
3401 Springhill Drive
Suite 460
North Little Rock, AR 72117-2942
Phone
(501) 945-1888
Fax
(501) 945-4102
NPI assigned
Apr 20, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X N8372 AR Primary
Physical Medicine & Rehabilitation Physician 208100000X 35060536 OH

Addresses

Primary practice location

3401 Springhill Drive
Suite 460
North Little Rock, AR 72117-2942

Mailing address

3401 Springhill Drive
Suite 460
North Little Rock, AR 72117-2942
Phone (501) 945-1888

Other identifiers 2

IdentifierTypeStateIssuer
123742001MedicaidAR
N8372OtherAROTHER LICESE NUMBER

Other names 1

  • Kevin J Collins Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324000829 AR Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 1456242726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Sports Medicine
Education
University of Southern California Keck School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3401 Springhill Dr
Suite 460
North Little Rock, AR 72117-2942
Phone (501) 945-1888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N8372ARMDPhysical Medicine & Rehabilitation Physician
35060536OHMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin J Collins MD PA Physical Medicine & Rehabilitation CurrentSince Jan 15, 1996 Accepting new patients
Sean M Foley MD PLLC Physical Medicine & Rehabilitation PastSince Jul 15, 2004 Accepting new patients
LHCG Lxxxv, LLC Past Accepting new patients

Locations

3401 Springhill Dr
Ste 460
North Little Rock, AR 72117
Phone (501) 945-1888

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCHACA

Organizations & group practices 3

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 10

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1699730549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 SPRINGHILL DRIVE",
            "address_2": "SUITE 460",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172942",
            "telephone_number": "501-945-1888",
            "fax_number": "501-945-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 SPRINGHILL DRIVE",
            "address_2": "SUITE 460",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172942",
            "telephone_number": "501-945-1888",
            "fax_number": "501-945-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KEVIN",
        "middle_name": "JEROME",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AR",
            "license": "N8372",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35060536",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123742001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER LICESE NUMBER",
            "identifier": "N8372",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "COLLINS",
            "middle_name": "J",
            "credential": "MD PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.