Organization Active NPI

Arkansas Rheumatology Institute

  • Rheumatology Physician
  • Little Rock, AR
National Provider Identifier
1730819145
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
ARKANSAS RHEUMATOLOGY INSTITUTE
Practice address
500 S University Ave
Little Rock, AR 72205-5302
Phone
(501) 747-1064
Fax
(501) 747-1087
NPI assigned
Jun 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Linda Long
Title
Credentialing Manager
Phone
(501) 223-2776

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

500 S University Ave
Little Rock, AR 72205-5302

Mailing address

500 S University Ave Ste 815
Little Rock, AR 72205-5310
Phone (501) 747-1064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230331000143 AR Part B Supplier - Clinic/Group Practice 8325413537 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2293776Arkansas Rheumatology Institute500 South University Suite 815, Little Rock, AR 72205Certificate of waiverNov 14, 2027

National Provider Directory

National Provider Directory

Locations

500 S University Ave
Ste 815
Little Rock, AR 72205
Phone (501) 663-8900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1730819145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 815",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055310",
            "telephone_number": "501-747-1064",
            "fax_number": "501-747-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055302",
            "telephone_number": "501-747-1064",
            "fax_number": "501-747-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS RHEUMATOLOGY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "501-223-2776"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.