Individual provider Active NPI

Kevin David Heath, MD

  • Gastroenterology Physician
  • Conway, AR
National Provider Identifier
1992702336
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
C6835 Issued in AR
Practice address
455 Hogan LN
Conway, AR 72034-8201
Phone
(501) 513-0799
Fax
(501) 513-0798
NPI assigned
Jun 30, 2005
Last updated
Aug 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X C6835 AR Primary

Addresses

Primary practice location

455 Hogan LN
Conway, AR 72034-8201

Mailing address

PO Box 10780
Conway, AR 72034-0013
Phone (501) 513-0799

Other identifiers 1

IdentifierTypeStateIssuer
128137001MedicaidAR

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
I20101013000620 AR Practitioner - GastroenterologyPractitioner - Internal Medicine 7517932387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C6835ARMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Clinics of Arkansas, PLLC CurrentSince Jan 1, 2014 Accepting new patients
Conway Endoscopy Center, Inc. Past Accepting new patients
Conway Gastroenterology, PA Gastroenterology PastSince Jun 5, 1995 Accepting new patients

Locations

455 Hogan Ln
Conway, AR 72034
Phone (501) 513-0799

409 N University Ave
Little Rock, AR 72205
Phone (501) 246-4561

3401 Springhill Dr
Ste 400A
North Little Rock, AR 72117
Phone (501) 791-3800

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.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1992702336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10780",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720340013",
            "telephone_number": "501-513-0799",
            "fax_number": "501-513-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 HOGAN LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348201",
            "telephone_number": "501-513-0799",
            "fax_number": "501-513-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH",
        "first_name": "KEVIN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "C6835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128137001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.