Organization Active NPI

Arkansas Endocrinology

  • Medical Specialty Clinic/Center
  • Jonesboro, AR
National Provider Identifier
1881400992
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ARKANSAS ENDOCRINOLOGY
Practice address
325 Southwest Dr Ste B
Jonesboro, AR 72401-5854
Phone
(501) 400-3694
NPI assigned
Dec 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Chitharanjan Duvoor, MDNPI 1609131234
Title
MD
Phone
(501) 400-3694

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

325 Southwest Dr Ste B
Jonesboro, AR 72401-5854

Mailing address

1801 Champlin Dr Apt 614
Little Rock, AR 72223-3972
Phone (501) 400-3694

Other practice location 1

9501 Baptist Health Dr Ste 770
Little Rock, AR 72205-6227
Phone (501) 400-3694

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250115001716 AR Part B Supplier - Clinic/Group Practice 9234667460 Receives reassigned benefits from 1 practitioner
Practice locations: Jonesboro, AR; Little Rock, AR

National Provider Directory

National Provider Directory

Locations

325 Southwest Dr
Jonesboro, AR 72401
Phone (870) 935-1340

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1881400992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 CHAMPLIN DR APT 614",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722233972",
            "telephone_number": "501-400-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SOUTHWEST DR STE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015854",
            "telephone_number": "501-400-3694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9501 Baptist Health Dr Ste 770",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056227",
            "country_code": "US",
            "telephone_number": "501-400-3694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARKANSAS ENDOCRINOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "DUVOOR",
        "authorized_official_first_name": "CHITHARANJAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "501-400-3694",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.