Individual provider Active NPI

Raga Deepak Reddy Palagiri, MD

  • Pulmonary Disease Physician
  • Conway, AR
National Provider Identifier
1831542737
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
E-15183 Issued in AR
Practice address
625 United Dr Ste 360
Conway, AR 72032-7831
Phone
(501) 358-6206
Fax
(501) 358-6809
NPI assigned
Jul 15, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X E-15183 AR Primary

Addresses

Primary practice location

625 United Dr Ste 360
Conway, AR 72032-7831

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393

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
I20220712002021 AR Practitioner - Internal MedicinePractitioner - Pulmonary Disease 4385923465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, shared by 52 NPIs, 645 clinicians

Practice addresses (Care Compare)

1555 Exchange Ave
Internal Medicine Associates
Conway, AR 72032-7824
Phone (501) 851-4702

625 United Dr
Suite 360
Conway, AR 72032-7831
Phone (501) 358-6206

Hospital & facility affiliations

  • Baptist Health Medical Center- Conway Hospital, Conway, AR, CCN 040154
  • Baptist Health Medical Center Heber Springs Hospital, Heber Springs, AR, CCN 041312
  • Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince May 1, 2024 Accepting new patients
Arkansas Health Group CurrentSince Jul 1, 2022 Accepting new patients
Arkansas Health Group Pulmonary Disease CurrentSince Jul 1, 2022 Accepting new patients

Locations

625 United Dr
Ste 360
Conway, AR 72032
Phone (501) 358-6206

9601 Interstate 630
#7
Little Rock, AR 72205
Phone (501) 202-3995

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

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

Interoperability endpoints

  • Direct secure messaging: rpalagiri590285@direct.baptist-healthar.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1831542737",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 UNITED DR STE 360",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327831",
            "telephone_number": "501-358-6206",
            "fax_number": "501-358-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAGIRI",
        "first_name": "RAGA DEEPAK REDDY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-15",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AR",
            "license": "E-15183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.