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PRATHEEPA RAVIKUMAR MD
NPI 1497335855
Internal Medicine in Little Rock, AR

Active since April 10, 2021PECOS EnrolledAccepts Medicare Assignment
4110 OUTPATIENT CIRCLE, LITTLE ROCK, AR 72205(501) 686-5545(501) 686-8668 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2025, Apr 10, 2021 (2 updates tracked since 2021).

About Pratheepa Ravikumar Md NPPES

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

PRATHEEPA RAVIKUMAR MD (NPI 1497335855) is an individual internal medicine provider in Little Rock, Arkansas, licensed in Arkansas (E-19436) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1497335855
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRATHEEPA RAVIKUMARCredential: MD
Location Address4110 OUTPATIENT CIRCLELittle Rock, AR 72205
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148
Phone(501) 686-5545
Fax(501) 686-8668
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 10, 2021
Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1497335855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AR · E-19436
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License E-19436 (AR)
4110 OUTPATIENT CIRCLE, Little Rock, AR 72205
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11 Childrens Way # 512-19ALittle Rock, AR 72202-3500 · Phone (501) 364-1874
Location 24301 W Markham St # 567Little Rock, AR 72205-7101 · Phone (501) 686-8000 · Fax (501) 526-5148

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pratheepa Ravikumar Md 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 ID9335540871
PECOS Enrollment IDI20250820000253
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 Reassignments

2

Medicare enrollment records show Pratheepa Ravikumar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Arkansas For Medical Sciences
Same address
Internal Medicine
4110 OUTPATIENT CIRCLE
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 2,038 clinicians in this Medicare group
NPI 1669534749 (501) 686-8000
Arkansas Childrens Professional Services Organization LLC
1.6 mi
Pediatrics
1 CHILDRENS WAY
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 653 clinicians in this Medicare group
NPI 1629889464 (501) 364-2526

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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
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.

DR. JORDAN W GREER M.D.
Surgery
4110 OUTPATIENT CIRCLE, OUTPATIENT CENTER, THIRD FLOOR
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6086
DR. AMBER GENE WESTPHELING DNP, APRN, AGACNP-BC
Nurse Practitioner (Acute Care)
4110 OUTPATIENT CIRCLE, SECOND FLOOR
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5311
CAROLINE E RUGGLES PA
Physician Assistant
4110 OUTPATIENT CIRCLE, THIRD FLOOR, SUITE 3150
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6918
DAWN M HURT NP
Nurse Practitioner
4110 OUTPATIENT CIRCLE
LITTLE ROCK, AR 72205
Pulaski County (501) 603-1900
RIKKI LEA WALKER PA-C
Physician Assistant (Surgical)
4110 OUTPATIENT CIRCLE, THIRD FLOOR SUITE 3160
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
MADELINE M HARGIS
Physician Assistant
4110 OUTPATIENT CIRCLE, THIRD FLOOR
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6324
CEM CENGIZ MD
Internal Medicine (Gastroenterology)
4110 OUTPATIENT CIRCLE, THIRD FLOOR
LITTLE ROCK, AR 72205
Pulaski County (501) 603-1900
KAITLIN RACHAEL SHONNARD PA-C
Physician Assistant (Medical)
4110 OUTPATIENT CIRCLE
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5545

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 Pratheepa Ravikumar's NPI number?

The NPI number for Pratheepa Ravikumar is 1497335855. It was assigned to this individual provider in the NPPES registry on April 10, 2021.

Where is Pratheepa Ravikumar located?

Pratheepa Ravikumar practices at 4110 Outpatient Circle, Little Rock, AR 72205. The listed phone number is (501) 686-5545.

What is Pratheepa Ravikumar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pratheepa Ravikumar enrolled in Medicare?

Yes. Pratheepa Ravikumar 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.

Which organizations bill Medicare for Pratheepa Ravikumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pratheepa Ravikumar reassigns Medicare benefits to 2 organizations: University Of Arkansas For Medical Sciences (Little Rock, AR) and Arkansas Childrens Professional Services Organization LLC (Little Rock, AR). Each 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 Pratheepa Ravikumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pratheepa Ravikumar 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 4 other insurers list Pratheepa Ravikumar 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 Pratheepa Ravikumar was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.