Individual provider Active NPI

Sanjay Maraboyina, M.D.

  • Radiation Oncology Physician
  • Little Rock, AR
National Provider Identifier
1730388166
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
E-8213 Issued in AR
Practice address
4301 W Markham St # 771
Little Rock, AR 72205-7101
Phone
(501) 526-7458
Fax
(501) 686-7285
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X E-8213 AR Primary

Addresses

Primary practice location

4301 W Markham St # 771
Little Rock, AR 72205-7101

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131106001475 AR Practitioner - Radiation Oncology 9436307204 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Cincinnati College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Arkansas for Medical SciencesGroup PAC ID 4082528955, shared by 29 NPIs, 1,159 clinicians
Proton International Arkansas, LLCGroup PAC ID 3577924398, 8 clinicians

Practice addresses (Care Compare)

1 Childrens Way
Suite 653
Little Rock, AR 72202-3571
Phone (501) 364-1100

3900 W Capitol Ave
St 200
Little Rock, AR 72205-5502
Phone (667) 225-3130

Hospital & facility affiliations

  • University of Arkansas Medical Sciences Hospital, Little Rock, AR, CCN 040016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-8213ARMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Oct 1, 2015 Accepting new patients
BH-Uams Oncology Services, LLC CurrentSince Sep 1, 2021 Accepting new patients
Arkansas Children'S Hospital CurrentSince Oct 15, 2016 Accepting new patients
Proton International Arkansas, LLC Radiation Oncology CurrentSince Jun 12, 2023 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Oct 1, 2015 Accepting new patients
Arkansas Childrens Hospital CurrentSince Oct 15, 2016 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Oct 15, 2016 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients

Locations

3900 W Capitol Ave
#200
Little Rock, AR 72205

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#771
Little Rock, AR 72205
Phone (501) 526-7458

3900 W Capitol Ave
Little Rock, AR 72205
Phone (501) 644-4568

3900 W Capitol Ave
Ste 200
Little Rock, AR 72205
Phone (630) 649-4060

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
Ste 653
Little Rock, AR 72202

3401 Springhill Dr
Ste 130
North Little Rock, AR 72117
Phone (501) 214-2460

Interoperability endpoints

  • Direct secure messaging: smaraboyina362546@directb.mercy.net

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 1

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1730388166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 771",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-526-7458",
            "fax_number": "501-686-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARABOYINA",
        "first_name": "SANJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AR",
            "license": "E-8213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.