CONWAY REGIONAL MATERNAL-FETAL MEDICINE CENTER OF ARKANSAS
NPI 1528722501
Obstetrics & Gynecology - Maternal & Fetal Medicine in Conway, AR

Active since October 26, 2021
2200 ADA AVE STE 200, CONWAY, AR 72034(501) 513-5424(501) 513-5428 Get Directions Write a Review

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

About Conway Regional Maternal-fetal Medicine Center Of Arkansas NPPES

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

CONWAY REGIONAL MATERNAL-FETAL MEDICINE CENTER OF ARKANSAS (NPI 1528722501) is a healthcare organization registered as a maternal & fetal medicine in Conway, Arkansas and active in the NPI registry since October 2021. The organization lists William Pack, Cfo, as its authorized official.

NPPES Registry Identity

NPI1528722501
Entity TypeOrganization
Primary Taxonomy207VM0101X
Legal Business NameCONWAY REGIONAL MEDICAL CENTER INC
Location Address2200 ADA AVE STE 200Conway, AR 72034-4984
Mailing AddressPo Box 9662Conway, AR 72033-9662 · (501) 852-1363 · Fax (501) 852-1364
Fax(501) 513-5428
Organization SubpartYes
Authorized OfficialWilliam PackCfo · (501) 450-2112
Enumeration DateOctober 26, 2021
Last NPPES UpdateNovember 9, 2023
NPPES CertifiedNovember 9, 2023
✔ NPI 1528722501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
2200 ADA AVE STE 200, Conway, AR 72034

Other Names 1

Doing Business AsConway Regional Maternal-fetal Medicine Center Of Arkansas

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Conway Regional Maternal-fetal Medicine Center Of Arkansas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArkansasEnrollment IDO20211118002294Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Conway Regional Maternal-Fetal Medicine Center Of Arkansas, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Obstetrics/Gynecology
NPI 1053601492
4301 W MARKHAM ST SLOT #783
Little Rock, AR 72205
(501) 686-8000
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1689005993
4301 W MARKHAM ST # 519
Little Rock, AR 72205
(501) 526-7017
✔ PECOS24 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 1528722501. It was assigned to this organization in the NPPES registry on October 26, 2021. The provider is doing business as Conway Regional Maternal-Fetal Medicine Center Of Arkansas.

Where is Conway Regional Medical Center Inc located?

Conway Regional Medical Center Inc is located at 2200 Ada Ave Ste 200, Conway, AR 72034. The listed phone number is (501) 513-5424.

What is Conway Regional Medical Center Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Conway Regional Medical Center Inc enrolled in Medicare?

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

When is Conway Regional Medical Center Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

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

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Conway Regional Medical Center Inc, in Nurse Practitioner and Obstetrics/Gynecology. 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.