Active NPI
Anil Kumar Badhwar, M.D
- Allergy & Immunology Physician
- Little Rock, AR
National Provider Identifier
1992764260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- C-8318
- Practice address
- 11321 Interstate 30
Suite 308
Little Rock, AR 72209-7059 - Phone
- (501) 455-7003
- Fax
- (501) 455-7047
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | C-8318 | AR | Primary |
Addresses
Primary practice location
11321 Interstate 30
Suite 308
Little Rock, AR 72209-7059
Mailing address
11321 I-30 Suite 308
Peter Thomas Medical Arts Building
Little Rock, AR 72209-7067
Phone (501) 455-7003
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122041001 | Medicaid | AR | |
| 137625002 | Medicaid | AR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- University of Arkansas College of Medicine, 1980
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
11321 I
30 Suite 308
Little Rock, AR 72209-7067
11321 Interstate 30 308
Little Rock, AR 72209-7067
Phone (501) 455-7003
2505 W Beebe Expressway
Suite 101
Searcy, AR 72143-4802
Phone (501) 278-2800
2900 Hawkins Dr
Searcy, AR 72143-4802
Phone (501) 278-2800
Hospital & facility affiliations
- White County Medical Center
- Unity Health - Jacksonville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White County Medical Center | Current | Accepting new patients | |
| White County Medical Center | Current | Accepting new patients | |
| White County Medical Center | Past | Accepting new patients |
Locations
2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Searcy, AR
- NPI 1962784835
-
- Obstetrics & Gynecology Physician
- Newport, AR
- NPI 1740940220
-
- Primary Care Clinic/Center
- Beebe, AR
- NPI 1497174858
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital
- Jacksonville, AR
- NPI 1245954460
-
- Hospitalist Physician
- Searcy, AR
- NPI 1053662890
-
- General Acute Care Hospital
- Searcy, AR
- NPI 1568406536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548374400000",
"number": "1992764260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11321 I-30 SUITE 308",
"address_2": "PETER THOMAS MEDICAL ARTS BUILDING",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722097067",
"telephone_number": "501-455-7003",
"fax_number": "501-455-7047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11321 INTERSTATE 30",
"address_2": "SUITE 308",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722097059",
"telephone_number": "501-455-7003",
"fax_number": "501-455-7047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADHWAR",
"first_name": "ANIL",
"middle_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2019-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "AR",
"license": "C-8318",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122041001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137625002",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.