Yelena Atlas, MD
Individual provider Active NPI Pediatrics Physician · Little Rock, AR
NPI 1972997955 · NPPES record last updated Oct 21, 2021
Key facts
- NPI
- 1972997955
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- ME149603 (FL)
- Practice address
- 1 Childrens Way # 512-16
Little Rock, AR 72202-3500 - Phone
- (501) 364-1100
- NPI assigned
- Mar 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210707000928 | FL | Practitioner - Pediatric Medicine |
1254683253 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME149603 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Bay Emergency Physicians LLC | Current |
Accepting new patients | |
| Tampa Bay Emergency Physicians-Heartland LLC | Current |
Accepting new patients |
Locations
4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406
1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000
735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME149603 | FL | Yes |
Addresses
Primary practice location
1 Childrens Way # 512-16
Little Rock, AR 72202-3500
Mailing address
3321 S Bowman Rd Apt 1112
Little Rock, AR 72211-4698
Phone (646) 250-9622
Other providers in Little Rock, AR
- Robin Louise Atkins
- Amy M Atkinson
- Christian Reed Atkinson
- Evangelina C Atkinson
- Lexis N Atkinson
- Keerthi Atluri
- Sean Paul Adonis Atreides
- Attachment Services of Arkansas
- Meenakshi Atteri
- Mohamed Attia
All providers in Little Rock, AR · Pediatrics Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.