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PRIYENKA THAPA M.D.
NPI 1023471885
Internal Medicine - Infectious Disease in Little Rock, AR

Active since March 30, 2016PECOS EnrolledAccepts Medicare Assignment
1 SAINT VINCENT CIR STE 160, LITTLE ROCK, AR 72205(501) 661-0037(501) 661-0038 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2021, Mar 30, 2016 (2 updates tracked since 2016).

About Priyenka Thapa M.d. NPPES

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

PRIYENKA THAPA M.D. (NPI 1023471885) is an individual infectious disease provider in Little Rock, Arkansas, licensed in Arkansas (E12352) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2016).

NPPES Registry Identity

NPI1023471885
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NamePRIYENKA THAPACredential: M.D.
Location Address1 SAINT VINCENT CIR STE 160Little Rock, AR 72205-5406
Mailing Address1 Saint Vincent Cir Ste 160Little Rock, AR 72205-5406 · (501) 661-0037 · Fax (501) 661-0038
Phone(501) 661-0037
Fax(501) 661-0038
Sole ProprietorYes
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2016
Enumeration DateMarch 30, 2016
Last NPPES UpdateOctober 7, 20212 updates tracked since enumeration
NPPES CertifiedOctober 7, 2021
✔ NPI 1023471885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in AR · E12352
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1 SAINT VINCENT CIR STE 160, Little Rock, AR 72205
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Priyenka Thapa M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325330228
PECOS Enrollment IDI20210330002306
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
396 services149 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
282 services112 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
148 services144 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MORGAN ANN STOREY CNP
Nurse Practitioner (Family)
1 SAINT VINCENT CIR STE 160
LITTLE ROCK, AR 72205
Pulaski County (501) 661-0037
MRS. KATHERINE MCLEAN FERREN M.D.
Internal Medicine (Infectious Disease)
1 SAINT VINCENT CIR STE 160
LITTLE ROCK, AR 72205
Pulaski County (501) 661-0067
JESSICA FRAZIER
Internal Medicine (Infectious Disease)
1 SAINT VINCENT CIR STE 160
LITTLE ROCK, AR 72205
Pulaski County (501) 661-0037

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 Priyenka Thapa's NPI number?

The NPI number for Priyenka Thapa is 1023471885. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Priyenka Thapa located?

Priyenka Thapa practices at 1 Saint Vincent Cir Ste 160, Little Rock, AR 72205. The listed phone number is (501) 661-0037.

What is Priyenka Thapa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Priyenka Thapa enrolled in Medicare?

Yes. Priyenka Thapa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Priyenka Thapa accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Priyenka Thapa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Priyenka Thapa was last updated on October 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.