NPIMap

Individual provider Active NPI

Kathryn T Chenault, MD

  • Neurology Physician
  • Sherwood, AR
National Provider Identifier
1942290481
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
E0780 Issued in AR
Practice address
2215 Wildwood Ave
Suite 200
Sherwood, AR 72120-5089
Phone
(501) 819-0901
Fax
(501) 492-6478
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X E0780 AR Primary

Addresses

Primary practice location

2215 Wildwood Ave
Suite 200
Sherwood, AR 72120-5089

Mailing address

2501 Crestwood Rd
Ste 204
North Little Rock, AR 72116-7616
Phone (501) 819-0901

Other identifiers 1

IdentifierTypeStateIssuer
133743001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426001837 AR Practitioner - Neurology 1456348184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Arkansas College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kathryn Chenault, MD, PAGroup PAC ID 7315108792, 2 clinicians

Practice addresses (Care Compare)

2215 Wildwood Ave
Sherwood, AR 72120-5092

2501 Crestwood Rd
Suite 204
North Little Rock, AR 72116-7616
Phone (501) 819-0901

Hospital & facility affiliations

  • Baptist Health Home Health-LR Home health agency, Little Rock, AR, CCN 047090
  • Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
  • Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036
  • CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026
  • St Vincent Medical Center/North Hospital, Sherwood, AR, CCN 040137
  • White County Medical Center Hospital, Searcy, AR, CCN 040014
  • Baptist Health Rehabilitation Institute Inpatient rehabilitation facility, Little Rock, AR, CCN 043026

Merit-based Incentive Payment System (MIPS)

Final score
76.51 of 100Reported as individual
Quality
53.01
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E0780ARMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn Chenault, MD, PA CurrentSince Feb 21, 2012 Accepting new patients
M.S. Clinc of Arkansas, LLC CurrentSince Aug 1, 2008 Accepting new patients
Ozarks Medical Center Neurology Past Accepting new patients
Arkansas Headache Clinic Neurology Past Accepting new patients
Kathryn T. Chenault, M.D, P.a. PastSince Jan 1, 1990 Accepting new patients

Locations

2501 Crestwood Rd
Ste 204
North Little Rock, AR 72116
Phone (501) 753-4132

2215 Wildwood Ave
Ste 200
Sherwood, AR 72120
Phone (501) 819-0901

2201 Wildwood Ave
Sherwood, AR 72120
Phone (501) 834-1800

Organizations & group practices 5

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 30

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1942290481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CRESTWOOD RD",
            "address_2": "STE 204",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167616",
            "telephone_number": "501-819-0901",
            "fax_number": "501-492-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 WILDWOOD AVE",
            "address_2": "SUITE 200",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205089",
            "telephone_number": "501-819-0901",
            "fax_number": "501-492-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENAULT",
        "first_name": "KATHRYN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AR",
            "license": "E0780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133743001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, AR

Sources for this page

Verify at the official NPI Registry.