Individual provider Active NPI

Romana Rayaz, M.D.

  • Adult Medicine Physician
  • Little Rock, AR
National Provider Identifier
1821172651
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
20662-1 Issued in NY
Practice address
4300 W 7TH St # West
Little Rock, AR 72205-5446
Phone
(501) 257-1000
NPI assigned
Oct 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 20662-1 NY Primary

Addresses

Primary practice location

4300 W 7TH St # West
Little Rock, AR 72205-5446

Mailing address

13212 Fairway Village CT
Little Rock, AR 72212-4417
Phone (501) 223-2708

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
I20181008002824 AR Practitioner - Family Practice 7810249521 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20662-1NYMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care 360 CurrentSince Dec 8, 2019 Accepting new patients
Arkansas Pain Care Clinics, PA CurrentSince Sep 1, 2018 Accepting new patients
Arkansas Pain Care Clinics, PA CurrentSince Sep 1, 2018 Accepting new patients

Locations

300 S Shackleford Rd
Little Rock, AR 72211
Phone (501) 918-0589

300 S Shackleford Rd
Ste B
Little Rock, AR 72211
Phone (501) 918-9192

100 Shadow Oaks Dr
Sherwood, AR 72120
Phone (501) 918-9192

7481 Warden Rd
Sherwood, AR 72120
Phone (501) 588-4164

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821172651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13212 FAIRWAY VILLAGE CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124417",
            "telephone_number": "501-223-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W 7TH ST # WEST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055446",
            "telephone_number": "501-257-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYAZ",
        "first_name": "ROMANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "20662-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.