Individual provider Active NPI

Payal Patel, MD

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1912385667
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E10088 Issued in AR
Practice address
629 Jack Stephens Dr
Little Rock, AR 72205-5525
Phone
(501) 296-1000
NPI assigned
May 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E10088 AR
Geriatric Medicine (Family Medicine) Physician 207QG0300X E-10088 AR
Family Medicine Physician 207Q00000X E10088 AR Primary

Addresses

Primary practice location

629 Jack Stephens Dr
Little Rock, AR 72205-5525

Mailing address

629 Jack Stephens Dr
Little Rock, AR 72205-5525
Phone (870) 541-6000

Other practice location 1

4010 S Mulberry St
Pine Bluff, AR 71603-7000
Phone (870) 541-6000

Other practice location 2

4 Hospital Dr
Morrilton, AR 72110-4510
Phone (501) 977-2300

Other practice location 3

24 Norris St
Eureka Springs, AR 72632-3541
Phone (479) 253-7400

Other practice location 4

200 N 3rd St
Dardanelle, AR 72834-3802
Phone (479) 229-4677

Other practice location 5

200 N 3rd St
Dardanelle, AR 72834-3802
Phone (479) 229-4677

Other identifiers 1

IdentifierTypeStateIssuer
1912385667MedicaidAR

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL LITTLEROCK Direct
SOAP URL LITTLEROCK Direct

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
I20170125000178 AR Practitioner - Family PracticePractitioner - Emergency Medicine 1456633502 Reassigns benefits to 8 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E10088ARMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Emergency Staffing Solutions, Inc Emergency Medicine CurrentSince Mar 20, 2017 Accepting new patients
Howard Memorial Hospital CurrentSince Feb 21, 2017 Accepting new patients
St. Vincent Infirmary Medical Center Current Accepting new patients
Nes Kentucky Inc Emergency Medicine CurrentSince Dec 1, 2016 Accepting new patients
Howard Memorial Hospital Family Medicine CurrentSince Feb 21, 2017 Accepting new patients
Hospital Care Consultants of Fordyce LLC CurrentSince Nov 8, 2016 Accepting new patients
Flagg Emergency Group, PLLC Emergency Medicine CurrentSince May 20, 2019 Accepting new patients
St. Vincent Infirmary Medical Center Emergency Medicine CurrentSince Sep 17, 2018 Accepting new patients
Ess of Fordyce LLC Emergency Medicine CurrentSince Nov 8, 2016 Accepting new patients
Forrest City Emergency Physicians, PLLC Emergency Medicine CurrentSince Apr 25, 2017 Accepting new patients
St Vincent Infirmary Medical Center CurrentSince Sep 17, 2018 Accepting new patients
Forrest City Emergency Physicians PLLC Emergency Medicine Current Accepting new patients

Locations

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

200 N 3rd St
Dardanelle, AR 72834
Phone (479) 229-2827

24 Norris St
Eureka Springs, AR 72632
Phone (479) 253-7400

201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300

1601 New Castle Rd
Forrest City, AR 72335
Phone (870) 261-0000

2001 S Main St
Hope, AR 71801
Phone (870) 722-3800

10100 Kanis Rd
Little Rock, AR 72205
Phone (501) 255-6000

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

4 Hospital Dr
Morrilton, AR 72110
Phone (501) 977-2300

110 Medical Cir
Nashville, AR 71852
Phone (870) 845-6051

130 Medical Cir
Nashville, AR 71852
Phone (501) 624-7700

404 S Bradley St
Warren, AR 71671
Phone (870) 226-3731

Interoperability endpoints

  • Direct secure messaging: eshppatel@yourcarecommunity.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/howard-9d20da0d

Organizations & group practices 12

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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1912385667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 JACK STEPHENS DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055525",
            "telephone_number": "870-541-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 JACK STEPHENS DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055525",
            "telephone_number": "501-296-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4010 S Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Pine Bluff",
            "state": "AR",
            "postal_code": "716037000",
            "country_code": "US",
            "telephone_number": "870-541-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Morrilton",
            "state": "AR",
            "postal_code": "721104510",
            "country_code": "US",
            "telephone_number": "501-977-2300",
            "fax_number": "501-977-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Norris St",
            "address_purpose": "LOCATION",
            "city": "Eureka Springs",
            "state": "AR",
            "postal_code": "726323541",
            "country_code": "US",
            "telephone_number": "479-253-7400",
            "fax_number": "479-253-7552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Dardanelle",
            "state": "AR",
            "postal_code": "728343802",
            "country_code": "US",
            "telephone_number": "479-229-4677",
            "fax_number": "479-229-6182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Dardanelle",
            "state": "AR",
            "postal_code": "728343802",
            "country_code": "US",
            "telephone_number": "479-229-4677",
            "fax_number": "479-229-6182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PAYAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E10088",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AR",
            "license": "E-10088",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E10088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912385667",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "LITTLEROCK",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "629 Jack Stephens Dr",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722055525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "LITTLEROCK",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "629 Jack Stephens Dr",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722055525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.