Individual provider Active NPI

Sven Hida, M.D.

  • Gastroenterology Physician
  • Little Rock, AR
National Provider Identifier
1750612065
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
E-12642 Issued in AR
Practice address
9501 Baptist Health Dr Ste 165
Little Rock, AR 72205-6226
Phone
(501) 219-0721
Fax
(501) 224-1198
NPI assigned
Jan 26, 2010
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D95214 MD
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 251199 NY
Gastroenterology Physician 207RG0100X E-12642 AR Primary
Internal Medicine Physician 207R00000X E-12642 AR
Gastroenterology Physician 207RG0100X 251199 NY

Addresses

Primary practice location

9501 Baptist Health Dr Ste 165
Little Rock, AR 72205-6226

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 219-0721

Other practice location 1

243 North Rd
Poughkeepsie, NY 12601-1172
Phone (845) 471-9410

Other practice location 2

243 North Rd
Poughkeepsie, NY 12601-1172
Phone (845) 471-9410

Other practice location 3

12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-8517

Other practice location 4

12502 Willowbrook Rd Ste 640
Cumberland, MD 21502-6579
Phone (240) 964-8517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AR, MD3 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
I20101030000054 NY Practitioner - GastroenterologyPractitioner - Emergency Medicine 7012101462
I20191028000886 AR Practitioner - Gastroenterology 7012101462 Reassigns benefits to 1 organization
I20220827000053 MD Practitioner - Gastroenterology 7012101462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical GroupGroup PAC ID 5698758803, 237 clinicians

Practice addresses (Care Compare)

2 Saint Vincent Cir
Little Rock, AR 72205-5423
Phone (501) 552-4666

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy54
Upper gastrointestinal (GI) endoscopy for acid reflux524

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-12642ARMDGastroenterology Physician
D95214MDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Aug 15, 2022 Accepting new patients
Upmc Western Maryland Corporation Internal Medicine Current Accepting new patients
Albany Medical College CurrentSince Aug 31, 2015 Accepting new patients
Albany Medical College Gastroenterology CurrentSince Aug 31, 2015 Accepting new patients
Albany Medical College Internal Medicine Current Accepting new patients
Upmc Western Maryland Corporation CurrentSince Aug 15, 2022 Accepting new patients
Upmc Western Maryland Health Services, LLC Internal Medicine Past Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients

Locations

16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12502 Willowbrook Rd
Ste 580
Cumberland, MD 21502
Phone (301) 723-4218

12502 Willowbrook Rd
Ste 640
Cumberland, MD 21502
Phone (240) 964-8717

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791

6 Medical Park Dr
Ste 203
Malta, NY 12020
Phone (518) 264-1200

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: shida4368610@nychhc.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1750612065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114393",
            "telephone_number": "501-219-0721",
            "fax_number": "501-224-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 BAPTIST HEALTH DR STE 165",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056226",
            "telephone_number": "501-219-0721",
            "fax_number": "501-224-1198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 North Rd",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126011172",
            "country_code": "US",
            "telephone_number": "845-471-9410",
            "fax_number": "845-471-7309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "243 North Rd",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126011172",
            "country_code": "US",
            "telephone_number": "845-471-9410",
            "fax_number": "845-471-7309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12500 Willowbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215026393",
            "country_code": "US",
            "telephone_number": "240-964-8517",
            "fax_number": "240-964-8720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12502 Willowbrook Rd Ste 640",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215026579",
            "country_code": "US",
            "telephone_number": "240-964-8517",
            "fax_number": "240-964-8720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIDA",
        "first_name": "SVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-26",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D95214",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "251199",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "E-12642",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-12642",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "251199",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.