Individual provider Active NPI

Mikeal Robert Love, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Fayetteville, AR
National Provider Identifier
1891788428
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
E-13080 Issued in AR
Practice address
1100 N College Ave
Fayetteville, AR 72703-1944
Phone
(479) 443-4301
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X E-13080 AR Primary
Obstetrics & Gynecology Physician 207V00000X H7322 TX

Addresses

Primary practice location

1100 N College Ave
Fayetteville, AR 72703-1944

Mailing address

174 E Cydnee St
Fayetteville, AR 72703-3987
Phone (512) 773-9682

Other practice location 1

University of Arkansas for Medical Sciences
4301 West Markham, Slot 508
Little Rock, AR 72205
Phone (501) 526-6990 ext. 8043

Other identifiers 1

IdentifierTypeStateIssuer
TXB118821OtherTXMEDICARE PTAN

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
I20200720001476 AR Practitioner - Obstetrics/Gynecology 9234311333 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H7322TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Palliative Care, LLC Hospice and Palliative Medicine CurrentSince Jul 14, 2021 Accepting new patients
Kristi McKenzie, M.D., P.a. Obstetrics & Gynecology Past Accepting new patients

Locations

14 Parkstone Cir
North Little Rock, AR 72116
Phone (501) 748-3333

14 Parkstone Cir
#C
North Little Rock, AR 72116
Phone (501) 748-3333

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1891788428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 E CYDNEE ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033987",
            "telephone_number": "512-773-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N COLLEGE AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031944",
            "telephone_number": "479-443-4301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES",
            "address_2": "4301 WEST MARKHAM, SLOT 508",
            "address_purpose": "LOCATION",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "country_code": "US",
            "telephone_number": "501-526-6990 x8043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVE",
        "first_name": "MIKEAL",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "AR",
            "license": "E-13080",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H7322",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB118821",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.