Individual provider Active NPI

Jose A Davila-Larroca, MD

  • Physical Medicine & Rehabilitation Physician
  • Little Rock, AR
National Provider Identifier
1760845713
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
E-14394 Issued in AR
Practice address
9501 Baptist Health Dr FL 1
Little Rock, AR 72205-6225
Phone
(501) 202-7395
Fax
(501) 202-7333
NPI assigned
Mar 29, 2016
Last updated
Jun 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X E-14394 AR Primary

Addresses

Primary practice location

9501 Baptist Health Dr FL 1
Little Rock, AR 72205-6225

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 202-7395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210701002784 AR Practitioner - Physical Medicine and Rehabilitation 4486055175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

9501 Baptist Health Dr
FL 1
Little Rock, AR 72205-6225
Phone (501) 202-7395

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-14394ARMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group Physical Medicine & Rehabilitation CurrentSince Aug 16, 2021 Accepting new patients
Arkansas Health Group CurrentSince Aug 16, 2021 Accepting new patients
Arkansas Health Group PastSince Jun 27, 2021 Accepting new patients

Locations

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

9501 Baptist Health Dr
Fl 1
Little Rock, AR 72205
Phone (501) 202-7395

9501 Baptist Health Dr
Fl First
Little Rock, AR 72205
Phone (501) 202-7395

3343 Springhill Dr
Ste 2050
North Little Rock, AR 72117
Phone (501) 413-2450

Organizations & group practices 3

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 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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1760845713",
    "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": "501-202-7395",
            "fax_number": "501-202-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 BAPTIST HEALTH DR FL 1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056225",
            "telephone_number": "501-202-7395",
            "fax_number": "501-202-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA-LARROCA",
        "first_name": "JOSE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AR",
            "license": "E-14394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.