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BENJAMIN R ITTLEMAN M.D.
NPI 1093100976
Pediatrics - Pediatric Cardiology in Little Rock, AR

Active since March 30, 2015PECOS Enrolled
100/100
CMS Quality Rating
1 CHILDRENS WAY # 512-1, LITTLE ROCK, AR 72202(501) 364-3418(501) 364-5262 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2022, Jun 3, 2019, Aug 20, 2018 (3 updates tracked since 2018).

About Benjamin R Ittleman M.d. NPPES

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

BENJAMIN R ITTLEMAN M.D. (NPI 1093100976) is an individual pediatric cardiology provider in Little Rock, Arkansas, licensed in Arkansas (E-16679) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1093100976
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameBENJAMIN R ITTLEMANCredential: M.D.
Location Address1 CHILDRENS WAY # 512-1Little Rock, AR 72202-3500
Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-4082
Phone(501) 364-3418
Fax(501) 364-5262
Sole ProprietorNo
Enumeration DateMarch 30, 2015
Last NPPES UpdateSeptember 18, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2023
✔ NPI 1093100976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in AR · E-16679✔ Licensed in WA · MD61304160
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License E-16679 (AR), 042.0014072 (VT)
1 CHILDRENS WAY # 512-1, Little Rock, AR 72202
Open in Google Maps ↗

Secondary Practice Location 1

Location 14800 Sand Point Way NESeattle, WA 98105-3901 · Phone (206) 987-2000

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 (PECOS)

Benjamin R Ittleman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.86
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

KRISTYN N JEFFRIES MD
Pediatrics
1 CHILDRENS WAY # 512-1
LITTLE ROCK, AR 72202
Pulaski County (501) 364-5262
INDIRAPRIYA DARSHINI AVULAKUNTA MD
Pediatrics (Neonatal-Perinatal Medicine)
1 CHILDRENS WAY # 512-1
LITTLE ROCK, AR 72202
Pulaski County (501) 364-5262
VICTORIA BRIGNAC CORLEY MD
Pediatrics
1 CHILDRENS WAY # 512-1
LITTLE ROCK, AR 72202
Pulaski County (501) 364-5262
DR. BRIAN M VARISCO MD
Pediatrics (Pediatric Critical Care Medicine)
1 CHILDRENS WAY # 512-1
LITTLE ROCK, AR 72202
Pulaski County (501) 364-5262
DR. RYAN WESLEY STEELE MD
Pediatrics
1 CHILDRENS WAY # 512-1
LITTLE ROCK, AR 72202
Pulaski County (501) 364-5262
DR. CONOR HARRISON SMITH MD
Pediatrics
1 CHILDRENS WAY # 512-1
LITTLE ROCK, AR 72202
Pulaski County (501) 364-3081
DR. SAFIA FAHIM NAWAZ MD
Allergy & Immunology
1 CHILDRENS WAY # 512-1
LITTLE ROCK, AR 72202
Pulaski County (501) 361-3677
CACEE V RADDLE
Nurse Practitioner (Family)
1 CHILDRENS WAY # 512-1
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100

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 Benjamin Ittleman's NPI number?

The NPI number for Benjamin Ittleman is 1093100976. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Benjamin Ittleman located?

Benjamin Ittleman practices at 1 Childrens Way # 512-1, Little Rock, AR 72202. The listed phone number is (501) 364-3418.

What is Benjamin Ittleman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Benjamin Ittleman enrolled in Medicare?

Yes. Benjamin Ittleman is registered in the Medicare PECOS enrollment system.

What insurance does Benjamin Ittleman 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 6 other insurers list Benjamin Ittleman 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 Benjamin Ittleman was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.