Individual provider Active NPI

Osama Intikhab, M.D

  • Neuroradiology Physician
  • Little Rock, AR
National Provider Identifier
1720432941
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
E-18342 Issued in AR
Practice address
9601 Baptist Health Dr Ste 750
Little Rock, AR 72205-6370
Phone
(501) 224-0200
Fax
(501) 224-2292
NPI assigned
Apr 14, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X E-18342 AR
Neuroradiology Physician 2085N0700X E-18342 AR Primary

Addresses

Primary practice location

9601 Baptist Health Dr Ste 750
Little Rock, AR 72205-6370

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 224-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MD, AR, DC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20211130000938 MI Practitioner - Diagnostic Radiology 7012208838 Reassigns benefits to 1 organization
I20220823000109 MD Practitioner - Diagnostic Radiology 7012208838 Reassigns benefits to 2 organizations
I20240828001053 AR Practitioner - Diagnostic Radiology 7012208838 Reassigns benefits to 1 organization
I20240905002609 DC Practitioner - Diagnostic Radiology 7012208838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-2000

9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000

9601 Baptist Health Dr
Suite 750
Little Rock, AR 72205-6370
Phone (501) 224-0200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-18342ARMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Diagnostic Radiology CurrentSince Nov 29, 2021 Accepting new patients
Arkansas Health Group CurrentSince Sep 3, 2024 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Henry Ford Health System CurrentSince Nov 29, 2021 Accepting new patients
Henry Ford Health System Current Accepting new patients
Medstar Medical Group Radiology, LLC Neuroradiology CurrentSince Aug 1, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2024 Accepting new patients
Arkansas Health Group CurrentSince Sep 3, 2024 Accepting new patients

Locations

815 Hogan Ln
Ste 5
Conway, AR 72034
Phone (501) 329-1888

9601 Baptist Health Dr
Ste 750
Little Rock, AR 72205

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

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3007 Tilden St NW
Ste 5N
Washington, DC 20008

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

Interoperability endpoints

  • Direct secure messaging: ointikhab760949@direct.baptist-healthar.org

Organizations & group practices 9

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 3

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": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1720432941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114393",
            "telephone_number": "501-224-0200",
            "fax_number": "501-224-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR STE 750",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056370",
            "telephone_number": "501-224-0200",
            "fax_number": "501-224-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTIKHAB",
        "first_name": "OSAMA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-14",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E-18342",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "AR",
            "license": "E-18342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.