Individual provider Active NPI

Nirmal K Kilambi, M.D.

  • Urology Physician
  • Fayetteville, AR
National Provider Identifier
1861476897
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
E2858 Issued in AR
Practice address
1300 E Zion Rd
Fayetteville, AR 72703-5015
Phone
(479) 521-8980
Fax
(479) 521-1088
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X E2858 AR Primary

Addresses

Primary practice location

1300 E Zion Rd
Fayetteville, AR 72703-5015

Mailing address

1300 E Zion Rd
Fayetteville, AR 72703-5015
Phone (479) 521-8980

Other identifiers 4

IdentifierTypeStateIssuer
340018982OtherARRAILROAD MEDICARE
19208000000OtherARQUALCHOICE OF ARKANSAS
143846001MedicaidAR
5L871OtherARARK BLUE CROSS BLUE SHIEL

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
I20070822000741 AR Practitioner - Urology 5496847873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Arkansas College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Arkansas Urology Associates, PLLCGroup PAC ID 9739311499, 4 clinicians

Practice addresses (Care Compare)

3215 N Hills Blvd
Fayetteville, AR 72703-4424
Phone (479) 713-1000

5401 Willow Creek Dr
Springdale, AR 72762-8703
Phone (479) 521-8980

609 W Maple Ave
Springdale, AR 72764-5335
Phone (479) 757-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E2858ARMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Jul 27, 2018 Accepting new patients
Northwest Arkansas Urology Associates, PLLC Urology CurrentSince Jan 13, 2014 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jul 27, 2018 Accepting new patients
Northwest Arkansas Urology Associates, P.a. Urology Past Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

25 Norris St
Eureka Springs, AR 72632
Phone (479) 253-1300

1300 E Zion Rd
Fayetteville, AR 72703
Phone (479) 463-4444

2000 S 42nd St
Ste 105
Rogers, AR 72758
Phone (479) 521-8980

5401 Willow Creek Dr
Springdale, AR 72762
Phone (479) 521-1500

Interoperability endpoints

  • Direct secure messaging: nkilambi@nauap-ar.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: nkilambi23149@washingtonregional.direct-ci.com

Organizations & group practices 4

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 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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1861476897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E ZION RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035015",
            "telephone_number": "479-521-8980",
            "fax_number": "479-521-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E ZION RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035015",
            "telephone_number": "479-521-8980",
            "fax_number": "479-521-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILAMBI",
        "first_name": "NIRMAL",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AR",
            "license": "E2858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340018982",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE OF ARKANSAS",
            "identifier": "19208000000",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143846001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARK BLUE CROSS BLUE SHIEL",
            "identifier": "5L871",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.