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CONWAY REGIONAL MEDICAL CENTER, INC.
NPI 1538615927
Clinic/Center - Medical Specialty in Conway, AR

Active since August 26, 2016
525 WESTERN AVE, SUITE 202, CONWAY, AR 72034(501) 513-5337(501) 513-5338 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 26, 2025, Dec 30, 2019, Oct 11, 2016 and 1 more (4 updates tracked since 2016).

About Conway Regional Medical Center, Inc. NPPES

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

CONWAY REGIONAL MEDICAL CENTER, INC. (NPI 1538615927), doing business as Conway Regional Cardiovascular Clinic, is a healthcare organization registered as a medical specialty in Conway, Arkansas and active in the NPI registry since August 2016. The organization lists William Pack, Cfo, as its authorized official.

NPPES Registry Identity

NPI1538615927
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameCONWAY REGIONAL MEDICAL CENTER, INC.
Location Address525 WESTERN AVE, SUITE 202Conway, AR 72034-4967
Mailing AddressPo Box 9662Conway, AR 72033-9662 · (501) 852-1363 · Fax (501) 852-1364
Phone(501) 513-5337
Fax(501) 513-5338
Organization SubpartNo
Authorized OfficialWilliam PackCfo · (501) 450-2112
Enumeration DateAugust 26, 2016
Last NPPES UpdateFebruary 26, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1538615927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in AR · 2657
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
525 WESTERN AVE, Conway, AR 72034
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Other Names 1

Doing Business AsConway Regional Cardiovascular Clinic

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 Medical Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Conway Regional Medical Center, Inc., which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Rimsha Hasan, M.D.
Interventional Cardiology
NPI 1225418445
525 WESTERN AVE STE 202
Conway, AR 72034
(501) 358-6905
✔ PECOS✔ Accepts MedicareSame address
Alexa Shipp, APRN
Nurse Practitioner
NPI 1659868933
525 WESTERN AVE STE 202
Conway, AR 72034
(501) 358-6905
✔ PECOS✔ Accepts MedicareSame address
Ronak Soni, M.D
Interventional Cardiology
NPI 1871978676
525 WESTERN AVE STE 202
Conway, AR 72034
(501) 358-6905
✔ PECOS✔ Accepts MedicareSame address
Donald Steely, M.D.
Cardiovascular Disease (Cardiology)
NPI 1700855921
525 WESTERN AVE SUITE 202
Conway, AR 72034
(501) 513-5337
✔ PECOS✔ Accepts MedicareSame address
Lane Wagnon, N.P.
Nurse Practitioner
NPI 1871756395
525 WESTERN AVE SUITE 202
Conway, AR 72034
(501) 513-5337
✔ PECOS✔ Accepts MedicareSame address
Yalcin Hacioglu, M.D.
Interventional Cardiology
NPI 1073576625
10100 KANIS RD
Little Rock, AR 72205
(501) 255-6000
✔ PECOS✔ Accepts Medicare24 mi
Felicia Johnson, APRN
Nurse Practitioner
NPI 1134685217
7 SHACKLEFORD WEST BLVD
Little Rock, AR 72211
(501) 664-5860
✔ PECOS✔ Accepts Medicare24 mi
Kayla Bond, APRN
Nurse Practitioner
NPI 1255912705
1205 SKYLINE DR
Searcy, AR 72143
(501) 268-6188
✔ PECOS✔ Accepts Medicare41 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 1538615927. It was assigned to this organization in the NPPES registry on August 26, 2016. The provider is doing business as Conway Regional Cardiovascular Clinic.

Where is Conway Regional Medical Center, Inc. located?

Conway Regional Medical Center, Inc. is located at 525 Western Ave Suite 202, Conway, AR 72034. The listed phone number is (501) 513-5337.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

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), 8 clinicians in 3 Medicare specialties reassign 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. The largest specialties are Nurse Practitioner (4), Interventional Cardiology (3) and Cardiovascular Disease (Cardiology) (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Conway Regional Medical Center, Inc. was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.