ST. VINCENT CARDIOVASCULAR SURGEONS
NPI 1033404199
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Little Rock, AR

Q: What is Jack Stephens Heart Institute LLC's NPI number?

The NPI number for Jack Stephens Heart Institute LLC is 1033404199. It was assigned to this organization in the NPPES registry on June 16, 2011. The provider is also known as St. Vincent Cardiovascular Surgeons.

Q: What is Jack Stephens Heart Institute LLC's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since June 16, 2011

5 ST. VINCENT CIRCLE, STE 501, LITTLE ROCK, AR 72205(501) 666-2894(501) 666-9017 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About St. Vincent Cardiovascular Surgeons NPPES

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

ST. VINCENT CARDIOVASCULAR SURGEONS (NPI 1033404199) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Little Rock, Arkansas and active in the NPI registry since June 2011. The organization lists Peter Banko, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1033404199

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameJACK STEPHENS HEART INSTITUTE LLC

Location Address5 ST. VINCENT CIRCLE, STE 501Little Rock, AR 72205-5414

Mailing Address5 St. Vincent Circle, Ste 501Little Rock, AR 72205-5414 · (501) 666-2894 · Fax (501) 666-9017

Phone(501) 666-2894

Fax(501) 666-9017

Organization SubpartNo

Authorized OfficialPeter BankoCeo/president · (501) 552-3922

Enumeration DateJune 16, 2011

Last NPPES UpdateFebruary 9, 2012

✔ NPI 1033404199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

5 ST. VINCENT CIRCLE, Little Rock, AR 72205

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Other Names 1

Other NameSt. Vincent Cardiovascular Surgeons

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 Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St. Vincent Cardiovascular Surgeons is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 10 clinicians reassign Medicare billing to St. Vincent Cardiovascular Surgeons, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner4

Cardiac Surgery3

General Surgery1

Thoracic Surgery1

Vascular Surgery1

Clinicians, nearest first (10)

Thurston Bauer, MD

Thoracic Surgery

NPI 1346551314

5 SAINT VINCENT CIR SUITE 501
Little Rock, AR 72205

(501) 666-2894

✔ PECOS✔ Accepts Medicare0.2 mi

Louisa Domingo-Bell, APRN

Nurse Practitioner

NPI 1679353759

2 SAINT VINCENT CIR
Little Rock, AR 72205

(501) 552-3597

✔ PECOS0.2 mi

Kaitlyn Jeffcoat, APRN

Nurse Practitioner

NPI 1891365987

5 SAINT VINCENT CIR STE 501
Little Rock, AR 72205

(501) 666-2894

✔ PECOS0.2 mi

Steven Meadors, MD

Vascular Surgery

NPI 1407276025

5 SAINT VINCENT CIR STE 501
Little Rock, AR 72205

(501) 666-2894

✔ PECOS✔ Accepts Medicare0.2 mi

Alexandra Thompson

Nurse Practitioner

NPI 1043950785

5 SAINT VINCENT CIR STE 501
Little Rock, AR 72205

(501) 666-2894

✔ PECOS0.2 mi

Frederick Meadors, M.D.

Cardiac Surgery

NPI 1699851436

5 SAINT VINCENT CIR STE 501
Little Rock, AR 72205

(501) 666-2894

✔ PECOS✔ Accepts Medicare0.7 mi

Callie Robichaud, APRN

Nurse Practitioner

NPI 1679367775

5 SAINT VINCENT CIR STE 501
Little Rock, AR 72205

(501) 666-2894

✔ PECOS0.7 mi

Samuel Rayburn, M.D.

Cardiac Surgery

NPI 1629017587

10100 KANIS RD
Little Rock, AR 72205

(501) 223-5757

✔ PECOS✔ Accepts Medicare2.7 mi

Charles Cole, M.D.

General Surgery

NPI 1891957320

5 SAINT VINCENT CIR STE 501
Little Rock, AR 72205

(501) 666-2894

✔ PECOS✔ Accepts Medicare6.5 mi

Kenneth Howell, M.D.

Cardiac Surgery

NPI 1255621009

5 SAINT VINCENT CIR STE 501
Little Rock, AR 72205

(501) 666-2894

✔ PECOS✔ Accepts Medicare6.5 mi

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 Jack Stephens Heart Institute LLC's NPI number?

The NPI number for Jack Stephens Heart Institute LLC is 1033404199. It was assigned to this organization in the NPPES registry on June 16, 2011. The provider is also known as St. Vincent Cardiovascular Surgeons.

Where is Jack Stephens Heart Institute LLC located?

Jack Stephens Heart Institute LLC is located at 5 St. Vincent Circle Ste 501, Little Rock, AR 72205. The listed phone number is (501) 666-2894.

What is Jack Stephens Heart Institute LLC's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Jack Stephens Heart Institute LLC enrolled in Medicare?

Yes. Jack Stephens Heart Institute LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jack Stephens Heart Institute LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Jack Stephens Heart Institute LLC. 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. The largest specialties are Nurse Practitioner (4), Cardiac Surgery (3) and General Surgery (1). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jack Stephens Heart Institute LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Jack Stephens Heart Institute LLC 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 Jack Stephens Heart Institute LLC was last updated on February 9, 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.