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CONWAY REGIONAL INFECTIOUS DISEASE CLINIC
NPI 1376025544
Internal Medicine - Infectious Disease in Conway, AR

Active since September 04, 2018
525 WESTERN AVE STE 301, CONWAY, AR 72034(501) 513-5295(501) 513-5296 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 13, 2023, Dec 30, 2019 and 1 more (4 updates tracked since 2018).

About Conway Regional Infectious Disease Clinic NPPES

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

CONWAY REGIONAL INFECTIOUS DISEASE CLINIC (NPI 1376025544) is a healthcare organization registered as an infectious disease in Conway, Arkansas and active in the NPI registry since September 2018. The organization lists William Pack, Cfo, as its authorized official.

NPPES Registry Identity

NPI1376025544
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameCONWAY REGIONAL MEDICAL CENTER, INC.
Location Address525 WESTERN AVE STE 301Conway, AR 72034-4981
Mailing AddressPo Box 9662Conway, AR 72033-9662 · (501) 852-1363
Phone(501) 513-5295
Fax(501) 513-5296
Organization SubpartNo
Authorized OfficialWilliam PackCfo · (501) 450-2112
Enumeration DateSeptember 4, 2018
Last NPPES UpdateNovember 9, 20234 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1376025544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
525 WESTERN AVE STE 301, Conway, AR 72034
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Other Names 1

Doing Business AsConway Regional Infectious Disease Clinic

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 Infectious Disease Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Conway Regional Infectious Disease Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Burgess, MD
Infectious Disease
NPI 1407011968
4301 W MARKHAM ST # 783
Little Rock, AR 72205
(501) 686-8000
✔ PECOS✔ Accepts Medicare25 mi

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 Conway Regional Medical Center, Inc.'s NPI number?

The NPI number for Conway Regional Medical Center, Inc. is 1376025544. It was assigned to this organization in the NPPES registry on September 4, 2018. The provider is doing business as Conway Regional Infectious Disease Clinic.

Where is Conway Regional Medical Center, Inc. located?

Conway Regional Medical Center, Inc. is located at 525 Western Ave Ste 301, Conway, AR 72034. The listed phone number is (501) 513-5295.

What is Conway Regional Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

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), 1 clinician (Infectious Disease) reassigns their Medicare billing to Conway Regional Medical Center, Inc.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.