PRIMARY CARE 360
NPI 1124678586
Family Medicine in Sherwood, AR
About Primary Care 360 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY CARE 360 (NPI 1124678586) is a healthcare organization registered as a family medicine in Sherwood, Arkansas and active in the NPI registry since September 2019. The organization maintains 2 additional practice locations and lists Khalid Rayaz, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Primary Care 360 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Primary Care 360, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (16)
Little Rock, AR 72211
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 Primary Care 360's NPI number?
The NPI number for Primary Care 360 is 1124678586. It was assigned to this organization in the NPPES registry on September 18, 2019.
Where is Primary Care 360 located?
Primary Care 360 is located at 100 Shadow Oaks Dr, Sherwood, AR 72120. The listed phone number is (501) 486-4045.
What is Primary Care 360's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Primary Care 360 enrolled in Medicare?
Yes. Primary Care 360 is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Care 360?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Primary Care 360. 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 (9), Internal Medicine (5) and Emergency Medicine (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Primary Care 360 was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Primary Care 360 · NPI 1124678586
Family Medicine organization in Sherwood, Arkansas. Organization record, active in the CMS NPPES registry since September 18, 2019.
## Identity
- **NPI:** 1124678586 (Entity type: Organization)
- **Enumerated:** September 18, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Khalid Rayaz, OWNER
## Practice location
- **Address:** 100 SHADOW OAKS DR, Sherwood, AR 72120-6046
- **Phone:** (501) 486-4045
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Internal Medicine (5), Emergency Medicine (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2020
- **Other identifiers:** Other E-4732 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1124678586) · Data from the CMS NPPES public registry.