NPIMap

Individual provider Active NPI

Thomas E St Amour, M.D.

  • Vascular & Interventional Radiology Physician
  • Little Rock, AR
National Provider Identifier
1992750079
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
N-7434 Issued in AR
Practice address
9500 Kanis Rd Ste 330
Little Rock, AR 72205-6339
Phone
(501) 202-4900
Fax
(501) 202-4915
NPI assigned
May 24, 2006
Last updated
Jun 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X N-7434 AR Primary

Addresses

Primary practice location

9500 Kanis Rd Ste 330
Little Rock, AR 72205-6339

Mailing address

9500 Kanis Rd Ste 330
Little Rock, AR 72205-6339
Phone (501) 202-4900

Other identifiers 2

IdentifierTypeStateIssuer
516596945OtherARMEDICARE ID
114497001MedicaidAR

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
I20041001001054 AR Practitioner - Diagnostic Radiology 0143207399 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Chicago, Pritzker School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

9500 Kanis Rd
Suite 330
Little Rock, AR 72205-6339
Phone (501) 202-4900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group Current Accepting new patients
Arkansas Health Group CurrentSince Jul 1, 2023 Accepting new patients
Radiology Consultants of Little Rock, PA CurrentSince Sep 1, 2004 Accepting new patients
Arkansas Health Group CurrentSince Jul 1, 2023 Accepting new patients
Nephrology Associates PA CurrentSince Feb 1, 2018 Accepting new patients
Northeast Radiology PC Past Accepting new patients
Shared Medical Services, Inc. Past Accepting new patients
Bouldercentre for Orthopedics PC Past Accepting new patients
Conway Radiology Consultants, LLC Past Accepting new patients
Boulder Radiologists Inc P C PastSince Jun 1, 1997 Accepting new patients
Northeast Radiology of Connecticut, LLC Past Accepting new patients

Locations

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

8907 Kanis Rd
Ste 330
Little Rock, AR 72205
Phone (501) 224-8810

9500 Kanis Rd
Ste 330
Little Rock, AR 72205
Phone (501) 202-4900

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

9601 Baptist Health Dr
Ste 1100
Little Rock, AR 72205
Phone (501) 748-3210

9601 Baptist Health Dr
Ste 700
Little Rock, AR 72205
Phone (501) 219-1970

3401 Springhill Dr
Ste 325
North Little Rock, AR 72117
Phone (501) 955-0320

Interoperability endpoints

  • Direct secure messaging: tstamour3111@direct.baptist-healthar.org

Organizations & group practices 11

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1992750079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 KANIS RD STE 330",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056339",
            "telephone_number": "501-202-4900",
            "fax_number": "501-202-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 KANIS RD STE 330",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056339",
            "telephone_number": "501-202-4900",
            "fax_number": "501-202-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST AMOUR",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AR",
            "license": "N-7434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "516596945",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114497001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.