PATRICK MBAWUIKE (MD) – Emergency Medicine Physician, NPI 1942940358

PATRICK MBAWUIKE (MD) is a healthcare provider. based in Little rock, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. E17497 (AR). The NPI Number for PATRICK MBAWUIKE (MD) is 1942940358

Main info

Male
5 Years Of Experience
Name
PATRICK MBAWUIKE (MD)
NPI
1942940358
Phone
(501) 206-3102
Address
11001 EXECUTIVE CENTER DR STE 200
Enumeration Date
1 April 2022
Last Update Date
17 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8702263731
Graduation Year
2021 (5 years ago)
PAC ID
0143762021
Group Practice PAC ID
2961316112
Professional Enrollment ID
I20240707000173
Address ID
AR716713459WA404XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

Provider Addresses for PATRICK MBAWUIKE (MD)

  • 11001 EXECUTIVE CENTER DR STE 200

    LITTLE ROCK, AR 722114393

    Phone: (501) 206-3102

    Fax: (501) 206-3235

    Type: Mailing

  • 1800 BYPASS ROAD

    HEBER SPRINGS, AR 725439135

    Phone: (501) 206-3102

    Fax: (501) 206-3235

    Type: Location

  • 1601 W 40TH AVE STE 100

    PINE BLUFF, AR 716036069

    Phone: (870) 541-6000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240707000173IFamily PracticeARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72211)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961316112View full group profile
NameSpecialtyState
Nurse PractitionerAR
P S Y C H I A T R YAR
Nurse PractitionerAR
Family PracticeAR
Family PracticeOK
Nurse PractitionerAR
General SurgeryMD
Family PracticeNY
Family PracticeAR
Family PracticeAR

Reviews

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Frequently asked questions

What NPI should I save for PATRICK MBAWUIKE (MD)?
Save NPI 1942940358 if you need a stable reference for PATRICK MBAWUIKE (MD).
Is PATRICK MBAWUIKE (MD)'s NPI currently valid?
The extract we use shows PATRICK MBAWUIKE (MD) as active.
What field does PATRICK MBAWUIKE (MD) work in?
You can think of PATRICK MBAWUIKE (MD) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is PATRICK MBAWUIKE (MD)'s primary listing?
We display Little Rock, Arkansas because that is what the record indicates for PATRICK MBAWUIKE (MD).
Is PATRICK MBAWUIKE (MD) a real provider?
This page reflects official NPPES data for NPI 1942940358. Always confirm identity and privileges with the practice and licensing boards.

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