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DR. VIDYASAGAR SANTOSHKUMAR JAISWAL MD
NPI 1467011858
Pediatrics in Little Rock, AR

Active since June 10, 2019PECOS Enrolled
4301 W MARKHAM ST, LITTLE ROCK, AR 72205(501) 686-8000(501) 526-5148 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2025, Jun 10, 2019 (2 updates tracked since 2019).

About Dr. Vidyasagar Santoshkumar Jaiswal Md NPPES

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

DR. VIDYASAGAR SANTOSHKUMAR JAISWAL MD (NPI 1467011858) is an individual pediatrics provider in Little Rock, Arkansas, licensed in Arkansas (E-19734) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Loma Linda, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1467011858
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. VIDYASAGAR SANTOSHKUMAR JAISWALCredential: MD
Location Address4301 W MARKHAM STLittle Rock, AR 72205-7101
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148
Phone(501) 686-8000
Fax(501) 526-5148
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 10, 2019
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1467011858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AR · E-19734
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4301 W MARKHAM ST, Little Rock, AR 72205
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Secondary Practice Location 1

Location 111234 Anderson StLoma Linda, CA 92354-2804 · Phone (909) 558-8000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vidyasagar Santoshkumar Jaiswal Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608373675
PECOS Enrollment IDI20251007002063
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.

Medicare Billing Reassignment

Medicare enrollment records show Vidyasagar Jaiswal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Arkansas For Medical Sciences
Same address
Advanced Practice Midwife
4301 W MARKHAM ST # 783
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 2,038 clinicians in this Medicare group
NPI 1043372220 (501) 686-8000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
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 20

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

MRS. LESLEY BROOKE JONES R.D.
Dietitian, Registered
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6857
NANCY MAALOUF M.D.
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST, SLOT # 500
LITTLE ROCK, AR 72205
Pulaski County (501) 296-1165
DR. ARMANDO LEONEL MARTINEZ M.D.
Emergency Medicine
4301 W MARKHAM ST, SLOT 783
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
ELENA AMBROGINI MD PHD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4301 W MARKHAM ST, # 783
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
SUKANTHI KOVVURU
Psychiatry & Neurology (Neuromuscular Medicine)
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (609) 865-3702
DR. TYLER KRISTOPHER ROSE M.D.
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
ZAIN BLACKWELL
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
MUHAMMAD JAWAD JAVED MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000

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 Vidyasagar Jaiswal's NPI number?

The NPI number for Vidyasagar Jaiswal is 1467011858. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Where is Vidyasagar Jaiswal located?

Vidyasagar Jaiswal practices at 4301 W Markham St, Little Rock, AR 72205. The listed phone number is (501) 686-8000.

What is Vidyasagar Jaiswal's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Vidyasagar Jaiswal enrolled in Medicare?

Yes. Vidyasagar Jaiswal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Vidyasagar Jaiswal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vidyasagar Jaiswal reassigns Medicare benefits to University Of Arkansas For Medical Sciences (Little Rock, AR). The 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 Vidyasagar Jaiswal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Vidyasagar Jaiswal was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.