Active NPI
Muralikrishna Porandla, M.D.
- Internal Medicine Physician
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E-14626
- Practice address
- 1001 Towson Ave
Fort Smith, AR 72901-4921 - Phone
- (479) 441-5005
- Fax
- (479) 441-4917
- NPI assigned
- Apr 12, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | E-14626 | AR | Primary |
Addresses
Primary practice location
1001 Towson Ave
Fort Smith, AR 72901-4921
Mailing address
Mercy St. Vincent Medical Center
2213 Cherry Street
Toledo, OH 43608
Phone (419) 251-4554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone (681) 342-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Services | Current | Accepting new patients | |
| United Physicians Care Inc | Internal Medicine | Current | Accepting new patients |
| United Physicians Care Inc | Current | Accepting new patients | |
| Prime Physicians LLC | Current | Accepting new patients | |
| Baptist Health Services | Internal Medicine | Current | Accepting new patients |
| United Hospital Center, Inc | Past | Accepting new patients |
Locations
1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980
1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025
1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300
327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000
626 Elk St
Gassaway, WV 26624
Phone (304) 364-2401
2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000
Interoperability endpoints
- mporandla549628@direct.baptist-healthar.org
Organizations & group practices 6
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.
-
- Foot & Ankle Surgery Podiatrist
- Fort Smith, AR
- NPI 1922587690
-
- General Practice Physician
- Fort Smith, AR
- NPI 1033454723
-
- Family Medicine Physician
- Grafton, WV
- NPI 1891863874
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1740787902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MERCY ST. VINCENT MEDICAL CENTER",
"address_2": "2213 CHERRY STREET",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43608",
"telephone_number": "419-251-4554",
"fax_number": "419-251-6795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 TOWSON AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729014921",
"telephone_number": "479-441-5005",
"fax_number": "479-441-4917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORANDLA",
"first_name": "MURALIKRISHNA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-12",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-14626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.