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KELLI KEENE SANDERS, MD INC
NPI 1003169111
Family Medicine in North Little Rock, AR

Active since October 26, 2012
505 W PERSHING BLVD STE B, NORTH LITTLE ROCK, AR 72114(501) 753-1881(501) 753-2133 Get Directions Write a Review

NPPES record last updated: October 26, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelli Keene Sanders, Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLI KEENE SANDERS, MD INC (NPI 1003169111) is a healthcare organization registered as a family medicine in North Little Rock, Arkansas and active in the NPI registry since October 2012. The organization lists Kelli Keene Sanders, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003169111
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKELLI KEENE SANDERS, MD INC
Location Address505 W PERSHING BLVD STE BNorth Little Rock, AR 72114-2157
Mailing Address505 W Pershing Blvd Ste BNorth Little Rock, AR 72114-2157 · (501) 753-1881 · Fax (501) 753-2133
Phone(501) 753-1881
Fax(501) 753-2133
Organization SubpartNo
Authorized OfficialKelli Keene SandersCeo · (501) 753-1881
Enumeration DateOctober 26, 2012
✔ NPI 1003169111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
505 W PERSHING BLVD STE B, North Little Rock, AR 72114
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Other Identifiers 2

Medicare UPINF64056AR
Medicare PIN5J193AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelli Keene Sanders, Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kelli Keene Sanders, MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kelli Sanders, MD
Family Practice
NPI 1972617397
505 W PERSHING BLVD SUITE B
North Little Rock, AR 72114
(501) 753-1881
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelli Keene Sanders, MD Inc's NPI number?

The NPI number for Kelli Keene Sanders, MD Inc is 1003169111. It was assigned to this organization in the NPPES registry on October 26, 2012.

Where is Kelli Keene Sanders, MD Inc located?

Kelli Keene Sanders, MD Inc is located at 505 W Pershing Blvd Ste B, North Little Rock, AR 72114. The listed phone number is (501) 753-1881.

What is Kelli Keene Sanders, MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelli Keene Sanders, MD Inc enrolled in Medicare?

Yes. Kelli Keene Sanders, MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelli Keene Sanders, MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Kelli Keene Sanders, MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kelli Keene Sanders, MD Inc was last updated on October 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.