Individual provider Active NPI

Vinisha Reddy Kota, M.D.

  • Rheumatology Physician
  • North Little Rock, AR
National Provider Identifier
1992124291
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
E-11807 Issued in AR
Practice address
3500 Springhill Dr Ste 200a
Suite 200 a
North Little Rock, AR 72117-2948
Phone
(501) 945-0392
Fax
(501) 945-0394
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X E-11807 AR Primary

Addresses

Primary practice location

3500 Springhill Dr Ste 200a
Suite 200 a
North Little Rock, AR 72117-2948

Mailing address

3500 Springhill Dr Ste 200a
Suite 200 a
North Little Rock, AR 72117-2948
Phone (501) 945-0392

Other practice location 1

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191009002075 AR Practitioner - RheumatologyPractitioner - Internal Medicine 2163738519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4301 W Markam St
Little Rock, AR 72205-7101
Phone (501) 686-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-11807ARMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince May 1, 2020 Accepting new patients
Arkansas Health Group CurrentSince Sep 9, 2019 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince May 1, 2020 Accepting new patients
Arkansas Health Group CurrentSince Sep 9, 2019 Accepting new patients

Locations

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

4301 W Markham St
#634
Little Rock, AR 72205
Phone (501) 686-5162

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

3201 Springhill Dr
Ste 350
North Little Rock, AR 72117
Phone (501) 945-0392

3500 Springhill Dr
Ste 200A
North Little Rock, AR 72117
Phone (501) 945-0392

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 1

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1992124291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 SPRINGHILL DR STE 200A",
            "address_2": "SUITE 200 A",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172948",
            "telephone_number": "501-945-0392",
            "fax_number": "501-945-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 SPRINGHILL DR STE 200A",
            "address_2": "SUITE 200 A",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172948",
            "telephone_number": "501-945-0392",
            "fax_number": "501-945-0394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 783",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTA",
        "first_name": "VINISHA",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AR",
            "license": "E-11807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.