St Vincent Physician Clinics Llc - Medicare Primary Care in Little Rock, AR

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St Vincent Physician Clinics Llc is a medicare enrolled primary clinic (Family Medicine) in Little Rock, Arkansas. The current practice location for St Vincent Physician Clinics Llc is 16221 Saint Vincent Way, Little Rock, Arkansas. For appointments, you can reach them via phone at (501) 552-8150. The mailing address for St Vincent Physician Clinics Llc is 5125 Northshore Dr, North Little Rock, Arkansas and phone number is (501) 224-1690.

St Vincent Physician Clinics Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1134558398. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (501) 552-8150.

Contact Information

St Vincent Physician Clinics Llc
16221 Saint Vincent Way
Little Rock
AR 72223-9072
(501) 552-8150
(501) 552-8199

Map and Direction


Primary Care Clinic Profile

Full NameSt Vincent Physician Clinics Llc
SpecialityFamily Medicine
Location16221 Saint Vincent Way, Little Rock, Arkansas
Authorized Official Name and PositionJaime Dennis (DIRECTOR-REVENUE CYCLE)
Authorized Official Contact5012241690
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
St Vincent Physician Clinics Llc
5125 Northshore Dr
North Little Rock
AR 72118-5315

Ph: (501) 224-1690		St Vincent Physician Clinics Llc
16221 Saint Vincent Way
Little Rock
AR 72223-9072

Ph: (501) 552-8150

NPI Details:

NPI Number1134558398
Provider Enumeration Date11/07/2013
Last Update Date05/14/2025

Medicare PECOS Information:

Medicare PECOS PAC ID5395975379
Medicare Enrollment IDO20140313001812

Medical Identifiers

Medical identifiers for St Vincent Physician Clinics Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134558398NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. St Vincent Physician Clinics Llc acts as a billing entity for following providers:
Provider NameRhodora Raghavan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467418749
PECOS PAC ID: 8820086754
Enrollment ID: I20040430001279
Provider NameSanjay R Dass
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1265497242
PECOS PAC ID: 2163450560
Enrollment ID: I20050727000840
Provider NameSrinivasan Ramaswamy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942247317
PECOS PAC ID: 4587677265
Enrollment ID: I20060725000192
Provider NameCamille Braswell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437208030
PECOS PAC ID: 8426154881
Enrollment ID: I20070501000226
Provider NameGilbert C Foster
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649262726
PECOS PAC ID: 9335245133
Enrollment ID: I20070510000168
Provider NameShiva Nallur
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780706663
PECOS PAC ID: 7618043704
Enrollment ID: I20080915000374
Provider NameMichael R Ford
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871502658
PECOS PAC ID: 5991885485
Enrollment ID: I20100722000492
Provider NameSridhar Madgula
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083808067
PECOS PAC ID: 4688708456
Enrollment ID: I20100816000419
Provider NameSteve Simpson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730172958
PECOS PAC ID: 7618157009
Enrollment ID: I20110201000795
Provider NameJames E Wilkerson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083934632
PECOS PAC ID: 9537318969
Enrollment ID: I20120928000633
Provider NameRobyn L Wilkerson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891015442
PECOS PAC ID: 0042460537
Enrollment ID: I20121018000111
Provider NameCesalie D Wallace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407104052
PECOS PAC ID: 5496986465
Enrollment ID: I20140317000980
Provider NameShreelekha Nallur
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427331560
PECOS PAC ID: 8527286863
Enrollment ID: I20140827002006
Provider NameLeanne Careen Glidewell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073852877
PECOS PAC ID: 7911127329
Enrollment ID: I20141007002529
Provider NameMark G Viegas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841589017
PECOS PAC ID: 4385968130
Enrollment ID: I20150504002041
Provider NameRandi L Ferguson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205504750
PECOS PAC ID: 2062818503
Enrollment ID: I20210908001625
Provider NameKatia Rayburn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740870583
PECOS PAC ID: 8123412699
Enrollment ID: I20220225001827
Provider NameNatalie Cobb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174160089
PECOS PAC ID: 2264534460
Enrollment ID: I20220420002264
Provider NameKalyan Kancherla
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356909311
PECOS PAC ID: 0244565471
Enrollment ID: I20220815000201
Provider NameMonica Kothari
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548899636
PECOS PAC ID: 3476976341
Enrollment ID: I20230727001801
Provider NameMeagan Cates Ripley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457130239
PECOS PAC ID: 4385090505
Enrollment ID: I20231025000041

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.