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CONWAY REGIONAL ENDOCRINOLOGY AND DIABETES CENTER
NPI 1255095139
Internal Medicine - Endocrinology, Diabetes & Metabolism in Conway, AR

Active since October 26, 2021CLIA 04D2271632 · Waiver
525 WESTERN AVE STE 305B, CONWAY, AR 72034(501) 205-4990(501) 205-4993 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 9, 2023, Mar 1, 2022 (2 updates tracked since 2022).

About Conway Regional Endocrinology And Diabetes Center NPPES

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

CONWAY REGIONAL ENDOCRINOLOGY AND DIABETES CENTER (NPI 1255095139) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Conway, Arkansas and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through November 3, 2026 and lists William Pack, Cfo, as its authorized official.

NPPES Registry Identity

NPI1255095139
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameCONWAY REGIONAL MEDICAL CENTER INC
Location Address525 WESTERN AVE STE 305BConway, AR 72034-4982
Mailing AddressPo Box 9662Conway, AR 72033-9662 · (501) 852-1363 · Fax (501) 852-1364
Phone(501) 205-4990
Fax(501) 205-4993
Organization SubpartNo
Authorized OfficialWilliam PackCfo · (501) 450-2112
Enumeration DateOctober 26, 2021
Last NPPES UpdateNovember 9, 20232 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1255095139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
525 WESTERN AVE STE 305B, Conway, AR 72034
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Other Names 1

Doing Business AsConway Regional Endocrinology And Diabetes Center

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)

Conway Regional Endocrinology And Diabetes Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Conway Regional Endocrinology And Diabetes Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Maria Javaid, M.D.
Endocrinology
NPI 1679886618
525 WESTERN AVE STE 305B
Conway, AR 72034
(501) 205-4990
✔ PECOS✔ Accepts MedicareSame address
Hooman Motahari, M.D.
Endocrinology
NPI 1073967048
525 WESTERN AVE STE 305B
Conway, AR 72034
(501) 205-4990
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Strack, APRN
Nurse Practitioner
NPI 1164845814
525 WESTERN AVE STE 305B
Conway, AR 72034
(501) 205-4990
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2271632

Conway Regional Endocrinology And Diabetes Center · Conway, AR
Active · expires Nov 3, 2026
CLIA Number04D2271632
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateNovember 3, 2026
Laboratory DirectorMs. Krista Baily
Laboratory Phone(501) 205-4990
Laboratory LocationConway Regional Endocrinology And Diabetes Center525 Western Ave Suite 303, Conway, AR 72034
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Conway Regional Medical Center Inc's NPI number?

The NPI number for Conway Regional Medical Center Inc is 1255095139. It was assigned to this organization in the NPPES registry on October 26, 2021. The provider is doing business as Conway Regional Endocrinology And Diabetes Center.

Where is Conway Regional Medical Center Inc located?

Conway Regional Medical Center Inc is located at 525 Western Ave Ste 305B, Conway, AR 72034. The listed phone number is (501) 205-4990.

What is Conway Regional Medical Center Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Conway Regional Medical Center Inc enrolled in Medicare?

Yes. Conway Regional Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Conway Regional Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Conway Regional Medical Center Inc, in Endocrinology and Nurse Practitioner. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Conway Regional Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2271632) is associated with this NPI, valid through November 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Conway Regional Medical Center Inc 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 Conway Regional Medical Center Inc 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 Conway Regional Medical Center Inc was last updated on November 9, 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.