NPIMap

Individual provider Active NPI

H Graves Hearnsberger III, M.D.

  • Otolaryngology Physician
  • Little Rock, AR
National Provider Identifier
1962485664
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
C6615 Issued in AR
Practice address
500 S University Ave
Suite 423
Little Rock, AR 72205-5302
Phone
(501) 664-4381
Fax
(501) 661-1228
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X C6615 AR Primary

Addresses

Primary practice location

500 S University Ave
Suite 423
Little Rock, AR 72205-5302

Mailing address

10201 Kanis Rd
Little Rock, AR 72205-6203
Phone (501) 227-5050

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
I20100729000296 AR Practitioner - Otolaryngology 6406923697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Arkansas College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 S University Ave
Suite 423
Little Rock, AR 72205-5348
Phone (501) 664-4381

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.55 of 100Reported as group
Quality
93.4
Promoting interoperability
91
Improvement activities
40
Cost
72.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C6615ARMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Otolaryngology Center, P.a. CurrentSince Oct 1, 1997 Accepting new patients
Arkansas Otolaryngology Center, P.a. Otolaryngology CurrentSince Oct 1, 1997 Accepting new patients

Locations

500 S University Ave
Ste 423
Little Rock, AR 72205
Phone (501) 664-4381

10201 Kanis Rd
Little Rock, AR 72205
Phone (501) 221-5050

Interoperability endpoints

  • Direct secure messaging: hgraves.hearnsberger.p1@direct.araoc.nextgenshare.com
  • 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1962485664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056203",
            "telephone_number": "501-227-5050",
            "fax_number": "501-227-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE",
            "address_2": "SUITE 423",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055302",
            "telephone_number": "501-664-4381",
            "fax_number": "501-661-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARNSBERGER",
        "first_name": "H",
        "middle_name": "GRAVES",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AR",
            "license": "C6615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.