Prasad Rao K.D. Padala, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

E-7269 Issued in AR

Practice address

2200 Fort Roots Dr
3J/NLR
North Little Rock, AR 72114-1709

Phone

(501) 257-2503

Fax

(501) 257-2501

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Alegent Health Bergan Mercy Health System

  dba Alegent Health Lasting Hope Recovery Center Professional Services

  • Psychiatry Physician
  • Omaha, NE
  • NPI 1184897647
  NPD (past)
• Alegent Health Bergan Mercy Health System

  dba Lasting Hope Recovery Center

  • Psychiatric Hospital Unit
  • Omaha, NE
  • NPI 1396969499
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1750331070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 FORT ROOTS DR",
            "address_2": "3J/NLR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721141709",
            "telephone_number": "501-257-2503",
            "fax_number": "501-257-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FORT ROOTS DR",
            "address_2": "3J/NLR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721141709",
            "telephone_number": "501-257-2503",
            "fax_number": "501-257-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADALA",
        "first_name": "PRASAD RAO",
        "middle_name": "K.D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "22329",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-7269",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "AR",
            "license": "E-7269",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "AR",
            "license": "E-7269",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47078557539",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Mills Owens, COTA/L
• William Eugene Owens Jr., M.D.
• P. S. E. Chiropractic Clinic, P.a.
• Joseph J Pabian Jr., D.D.S.
• Elise Eubank Pace, PT
• Fnu Padman Kumari, MBBS
• Leanna Page
• Pain Treatment Centers of America, PLLC
• Madison Lee Paine, OTD
• Jacob Painter

• Psychiatry Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.