Michael Wayne Enns, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

E4657 Issued in AR

Practice address

1100 N University Ave Ste 142
Little Rock, AR 72207-6344

Phone

(501) 404-9582

NPI assigned

Apr 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Diagnostic RadiologyAlso: Interventional Radiology

Education

University of Arkansas College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.enns.1@21567.direct.athenahealth.com

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.

• Central Arkansas Vein Center, PA

  • Vascular & Interventional Radiology Physician
  • Little Rock, AR
  • NPI 1992146856
  Medicare reassignment Authorized official
• Healthy Connections Incorporated

  • Federally Qualified Health Center (FQHC)
  • Mena, AR
  • NPI 1588646491
  Medicare reassignment NPD
• Healthy Connections Inc

  • Federally Qualified Health Center (FQHC)
  • De Queen, AR
  • NPI 1871868703
  NPD
• Healthy Connections Incorporated

  • Federally Qualified Health Center (FQHC)
  • Texarkana, AR
  • NPI 1518694538
  NPD
• Healthy Connections Inc

  • Federally Qualified Health Center (FQHC)
  • Malvern, AR
  • NPI 1003282070
  NPD (past)
• Medical Associates of Northwest Arkansas PA

  • Diagnostic Radiology Physician
  • Fayetteville, AR
  • NPI 1134170160
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1972728988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N UNIVERSITY AVE STE 142",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076344",
            "telephone_number": "501-404-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N UNIVERSITY AVE STE 142",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076344",
            "telephone_number": "501-404-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNS",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AR",
            "license": "E4657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Marie English
• Gregory J Engstrom, MD, PHD
• Enhanced Healthcare LLC
• Enlightened Pathways Counseling
• Takeshia Enlow, OTR/L
• Emily Marie Louise Enoch, DPT
• Micah Enoch, DPT
• Ensure Home Care of Arkansas LLC
• Envision Eye Care
• Epic Medical Supplies, Inc.

• Vascular & Interventional Radiology Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Vascular & Interventional Radiology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.