NPIMap

Individual provider Active NPI

Micah Ryan Fritsche, M.D.

  • Diagnostic Radiology Physician
  • Little Rock, AR
National Provider Identifier
1942643150
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E-12138 Issued in AR
Practice address
500 S University Ave Ste 101
Little Rock, AR 72205-5314
Phone
(501) 664-3914
Fax
(501) 664-5246
NPI assigned
Apr 8, 2013
Last updated
Oct 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X E-12138 AR Primary
Diagnostic Radiology Physician 2085R0202X R6193 TX

Addresses

Primary practice location

500 S University Ave Ste 101
Little Rock, AR 72205-5314

Mailing address

500 S University Ave Ste 101
Little Rock, AR 72205-5314
Phone (501) 664-3914

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
I20190619002925 AR Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9739481342 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Arkansas College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical GroupGroup PAC ID 5698758803, 237 clinicians
Radiology Associates PAGroup PAC ID 7517953912, 103 clinicians

Practice addresses (Care Compare)

1 Mercy LN
Suite 404
Hot Springs, AR 71913-6441
Phone (501) 609-2222

2 Saint Vincent Cir
Little Rock, AR 72205-5423
Phone (501) 552-4666

500 S University Ave
Suite 101
Little Rock, AR 72205-5399
Phone (501) 664-3914

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R6193TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Radiology Associates PA Diagnostic Radiology CurrentSince Jul 15, 2019 Accepting new patients
CHI St. Vincent Medical Group Hot Springs CurrentSince Jun 1, 2025 Accepting new patients
Cabot Imaging Center, LLC Past Accepting new patients

Locations

1 Mercy Ln
Ste 301
Hot Springs, AR 71913
Phone (501) 622-6556

1 Mercy Ln
Ste 201
Hot Springs National Park, AR 71913
Phone (501) 321-2229

1 Mercy Ln
Ste 404
Hot Springs National Park, AR 71913
Phone (501) 321-1026

16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888

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

500 S University Ave
Ste 101
Little Rock, AR 72205
Phone (501) 686-2688

500 S University Ave
Ste 600
Little Rock, AR 72205
Phone (501) 686-2688

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1942643150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055314",
            "telephone_number": "501-664-3914",
            "fax_number": "501-664-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055314",
            "telephone_number": "501-664-3914",
            "fax_number": "501-664-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITSCHE",
        "first_name": "MICAH",
        "middle_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E-12138",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R6193",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.