Unknown Individual – Internal Medicine Physician, NPI 1104860824
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1100 N UNIVERSITY AVE STE 1
LITTLE ROCK, AR 722076348
Phone: (501) 664-2500
Fax: (501) 664-0435
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $90.
Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.
Last reported payment date: 2023-05-22 • Largest payer in this snapshot: Exact Sciences Corporation ($36).
Total Amount
$90
General + Research + Ownership
Payments
6
Total payment records
General Amount
$90
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $36 |
| Shield Therapeutics Inc | $15 |
| Lilly USA, LLC | $14 |
| E.R. Squibb & Sons, L.L.C. | $13 |
| Nevro Corp. | $13 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 99 | 66 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 47 | 43 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 44 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 37 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 39 | 39 | $0 |
Insurance plans in this area (ZIP 72207)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | IN | |
| Nurse Practitioner | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | AR | |
| Cardiovascular Disease (Cardiology) | AR | |
| - | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR |
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