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SIVA SUNDEEP KOPPOLU MBBS
NPI 1316493943
Psychiatry & Neurology - Psychiatry in North Little Rock, AR

Active since September 01, 2016PECOS EnrolledAccepts Medicare Assignment
3401 SPRINGHILL DR STE 490, NORTH LITTLE ROCK, AR 72117(501) 945-8838(501) 945-8835 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 16, 2022, Sep 1, 2016 (2 updates tracked since 2016).

About Siva Sundeep Koppolu Mbbs NPPES

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

SIVA SUNDEEP KOPPOLU MBBS (NPI 1316493943) is an individual psychiatry provider in North Little Rock, Arkansas, licensed in Arkansas (E-15382) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1316493943
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSIVA SUNDEEP KOPPOLUCredential: MBBS
Location Address3401 SPRINGHILL DR STE 490North Little Rock, AR 72117-2933
Mailing Address11001 Executive Center Dr Ste 200Little Rock, AR 72211-4393 · (501) 945-8838 · Fax (501) 945-8835
Phone(501) 945-8838
Fax(501) 945-8835
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 1, 2016
Last NPPES UpdateSeptember 16, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2022
✔ NPI 1316493943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in AR · E-15382✔ Licensed in NE · TEP 7768
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

3401 SPRINGHILL DR STE 490, North Little Rock, AR 72117
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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 and accepts Medicare assignment

Siva Sundeep Koppolu Mbbs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830562784
PECOS Enrollment IDI20230224000461
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
162 services76 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
31 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$157.74 typical visit price
range $51.36 – $157.74
Typical copayment $39.43 (range $12.84 – $39.43)
Most-billed visit code 99205
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

DR. PARAMESHWARAN RAMAKRISHNAN MD
Student in an Organized Health Care Education/Training Program
3401 SPRINGHILL DR STE 490
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 945-8838
MR. DARREN LEE REEVES L.C.S.W.
Social Worker (Clinical)
3401 SPRINGHILL DR STE 490
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 945-8838
ALEXANDER MALATI DO
Student in an Organized Health Care Education/Training Program
3401 SPRINGHILL DR STE 490
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 945-8838
ARKANSAS HEALTH GROUP
Family Medicine (Hospice and Palliative Medicine)
3401 SPRINGHILL DR STE 490
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 202-3815

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 Siva Sundeep Koppolu's NPI number?

The NPI number for Siva Sundeep Koppolu is 1316493943. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Siva Sundeep Koppolu located?

Siva Sundeep Koppolu practices at 3401 Springhill Dr Ste 490, North Little Rock, AR 72117. The listed phone number is (501) 945-8838.

What is Siva Sundeep Koppolu's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Siva Sundeep Koppolu enrolled in Medicare?

Yes. Siva Sundeep Koppolu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Siva Sundeep Koppolu accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Siva Sundeep Koppolu 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 Siva Sundeep Koppolu was last updated on September 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.