Individual provider Active NPI

Chandra S Lingisetty, MD

  • Hospitalist Physician
  • Conway, AR
National Provider Identifier
1740411511
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
T2009-104 Issued in AR
Practice address
College Avenue
2302 Conway Regional Medical Center
Conway, AR 72034
Phone
(917) 774-9594
NPI assigned
Jul 28, 2009
Last updated
Jul 28, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X T2009-104 AR Primary

Addresses

Primary practice location

College Avenue
2302 Conway Regional Medical Center
Conway, AR 72034

Mailing address

4920 Cindy Lee CV
Conway, AR 72034-7496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, CT, MA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20091123000605 AR Practitioner - Internal Medicine 9436298981 Reassigns benefits to 9 organizations
I20240110003556 CT Practitioner - Internal Medicine 9436298981 Reassigns benefits to 1 organization
I20240930002366 MA Practitioner - HospitalistPractitioner - Internal Medicine 9436298981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ess Hospitalist LLCGroup PAC ID 6103085295, 19 clinicians
Docs Medical IncGroup PAC ID 3173895000, 30 clinicians
Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians

Practice addresses (Care Compare)

1015 Unity Rd
Crossett, AR 71635-9443
Phone (870) 364-4111

317 Foxon Rd
East Haven, CT 06513-2038
Phone (203) 529-3271

700 W Grove St
El Dorado, AR 71730-4416
Phone (888) 264-0330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T2009-104ARMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HCC of El Dorado LLC Hospitalist CurrentSince Apr 1, 2024 Accepting new patients
Concord Medical Group PLLC CurrentSince Oct 1, 2024 Accepting new patients
Docs Medical Inc CurrentSince Nov 15, 2023 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc CurrentSince Apr 1, 2024 Accepting new patients
Core Care Clinic LLC CurrentSince Aug 20, 2024 Accepting new patients
Baptist Health CurrentSince Jan 13, 2020 Accepting new patients
Emergency Staffing Solutions Region III CurrentSince Aug 13, 2022 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Oct 1, 2024 Accepting new patients
HCC of Magnolia LLC Hospitalist CurrentSince Aug 13, 2022 Accepting new patients
Ess of El Dorado, LLC CurrentSince Apr 1, 2024 Accepting new patients
Ess Hospitalist LLC Hospitalist CurrentSince May 1, 2024 Accepting new patients
Baptist Health CurrentSince Jan 13, 2020 Accepting new patients
Arkansas Health Group CurrentSince Mar 1, 2010 Accepting new patients
Arkansas Health Group CurrentSince Mar 1, 2010 Accepting new patients

Locations

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

1801 Martin Luther King Jr Dr
Helena, AR 72342
Phone (870) 338-5800

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

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

9601 Interstate 630
#7
Little Rock, AR 72205
Phone (501) 202-3995

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

317 Foxon Rd
East Haven, CT 06513
Phone (203) 484-9333

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1740411511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 CINDY LEE CV",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COLLEGE AVENUE",
            "address_2": "2302 CONWAY REGIONAL MEDICAL CENTER",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72034",
            "telephone_number": "917-774-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGISETTY",
        "first_name": "CHANDRA S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AR",
            "license": "T2009-104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.