NPIMap

Individual provider Active NPI

Kenneth V Robbins, M.D.

  • Vascular & Interventional Radiology Physician
  • Little Rock, AR
National Provider Identifier
1730134065
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
C-6249 Issued in AR
Practice address
9500 Kanis Rd Ste 330
Little Rock, AR 72205-6339
Phone
(501) 202-4900
Fax
(501) 202-4915
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X C-6249 AR Primary

Addresses

Primary practice location

9500 Kanis Rd Ste 330
Little Rock, AR 72205-6339

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 202-4900

Other identifiers 1

IdentifierTypeStateIssuer
111532001MedicaidAR

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
I20100928000574 AR Practitioner - Interventional Radiology 8123039153 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
University of Arkansas College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

9500 Kanis Rd
Suite 330
Little Rock, AR 72205-6339
Phone (501) 202-4900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-6249ARMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Consultants of Little Rock, PA CurrentSince Jul 2, 1990 Accepting new patients
Arkansas Health Group CurrentSince Jul 1, 2023 Accepting new patients
Arkansas Health Group Current Accepting new patients
Nephrology Associates PA CurrentSince Feb 1, 2018 Accepting new patients
Arkansas Health Group CurrentSince Jul 1, 2023 Accepting new patients
Conway Radiology Consultants, LLC Past Accepting new patients
Shared Medical Services, Inc. Past Accepting new patients

Locations

9601 Baptist Health Dr
Ste 1100
Little Rock, AR 72205
Phone (501) 748-3210

9500 Kanis Rd
Ste 330
Little Rock, AR 72205
Phone (501) 202-4900

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

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

8907 Kanis Rd
Ste 330
Little Rock, AR 72205
Phone (501) 224-8810

9601 Baptist Health Dr
Ste 700
Little Rock, AR 72205
Phone (501) 219-1970

3401 Springhill Dr
Ste 325
North Little Rock, AR 72117
Phone (501) 955-0320

Interoperability endpoints

  • Direct secure messaging: krobbins2294@direct.baptist-healthar.org

Organizations & group practices 7

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 6

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1730134065",
    "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": "501-202-4900",
            "fax_number": "501-202-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 KANIS RD STE 330",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056339",
            "telephone_number": "501-202-4900",
            "fax_number": "501-202-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "KENNETH",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AR",
            "license": "C-6249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111532001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.