Active NPI
Astryd Menendez, MD
- Pediatric Pulmonology Physician
- Springdale, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- E0471
- Practice address
- 2601 Gene George Blvd
Springdale, AR 72762-0845 - Phone
- (479) 725-6880
- Fax
- (479) 725-6582
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | E0471 | AR | Primary |
Addresses
Primary practice location
2601 Gene George Blvd
Springdale, AR 72762-0845
Mailing address
PO Box 8069
Fayetteville, AR 72701
Phone (479) 756-2556
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127734001 | Medicaid | AR | |
| 0211003660 | Other | QUALCHOICE | |
| 5J800 | Other | BCBS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070703000382 | AR | Practitioner - Pediatric Medicine | 9638279797 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0471 | AR | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Children'S Hospital | Current | Accepting new patients | |
| Arkansas Childrens Hospital | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Arkansas Childrens Northwest, Inc. | Past | Accepting new patients |
Locations
800 Marshall St
Ste 653
Little Rock, AR 72202
Phone (501) 364-4020
1 Childrens Way
Ste 653
Little Rock, AR 72202
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874
2601 Gene George Blvd
Springdale, AR 72762
Phone (479) 725-6800
Interoperability endpoints
- https://epicproxy.et1036.epichosted.com/APIProxyPRD/AC/api/FHIR/R4
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.
-
- Children's Hospital
- Little Rock, AR
- NPI 1477561983
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
- Psychologist
- Little Rock, AR
- NPI 1114255353
-
- Children's Hospital
- Springdale, AR
- NPI 1255875746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1790713352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8069",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "72701",
"telephone_number": "479-756-2556",
"fax_number": "479-756-5265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 GENE GEORGE BLVD",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727620845",
"telephone_number": "479-725-6880",
"fax_number": "479-725-6582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENENDEZ",
"first_name": "ASTRYD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "AR",
"license": "E0471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127734001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "0211003660",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5J800",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.