PARTHAK PRODHAN MD
NPI 1184714743
Pediatrics - Pediatric Critical Care Medicine in Little Rock, AR

Q: What is Parthak Prodhan's NPI number?

The NPI number for Parthak Prodhan is 1184714743. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Parthak Prodhan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Parthak Prodhan was last updated on July 31, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 13, 2006PECOS Enrolled

800 MARSHALL ST # 653, LITTLE ROCK, AR 72202(501) 364-1100 Get Directions Write a Review

NPPES record last updated: July 31, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Parthak Prodhan Md NPPES

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

PARTHAK PRODHAN MD (NPI 1184714743) is an individual pediatric critical care medicine provider in Little Rock, Arkansas, licensed in Arkansas (E-4244) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184714743

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NamePARTHAK PRODHANCredential: MD

Location Address800 MARSHALL ST # 653Little Rock, AR 72202-3510

Mailing Address800 Marshall St # 653Little Rock, AR 72202-3510 · (501) 364-1100

Phone(501) 364-1100

Sole ProprietorNo

Enumeration DateOctober 13, 2006

Last NPPES UpdateJuly 31, 2007

✔ NPI 1184714743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in AR · E-4244

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

800 MARSHALL ST # 653, Little Rock, AR 72202

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Other Identifiers 1

Medicare PIN5N016

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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)

Parthak Prodhan Md 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.

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.

ROBERT BUCHMANN DO

Radiology (Pediatric Radiology)