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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ANDREA FA
NPI 1558822189
Colon & Rectal Surgery in Little Rock, AR

Active since March 27, 2019PECOS Enrolled
9500 KANIS RD STE 501, LITTLE ROCK, AR 72205(501) 227-9080(501) 227-0410 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea Fa NPPES

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

ANDREA FA (NPI 1558822189) is an individual colon & rectal surgery provider in Little Rock, Arkansas, licensed in Arkansas (E-20990) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558822189
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameANDREA FA
Location Address9500 KANIS RD STE 501Little Rock, AR 72205-6389
Mailing Address2020 Gravier StNew Orleans, LA 70112-2272 · (504) 568-2249
Phone(501) 227-9080
Fax(501) 227-0410
Sole ProprietorNo
Enumeration DateMarch 27, 2019
Last NPPES UpdateJuly 31, 2026
NPPES CertifiedJuly 31, 2026
✔ NPI 1558822189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in AR · E-20990
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9500 KANIS RD STE 501, Little Rock, AR 72205
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Fa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
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 12

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

EMMA CATHERINE CHEEK PA-C
Physician Assistant (Surgical)
9500 KANIS RD STE 501
LITTLE ROCK, AR 72205
Pulaski County (501) 227-9080
SHANNON PETRUS ZEHTABAN MD
Surgery
9500 KANIS RD STE 501
LITTLE ROCK, AR 72205
Pulaski County (501) 227-9080
MICHELLE SULLIVAN BRUZATORI PA-C
Physician Assistant
9500 KANIS RD STE 501
LITTLE ROCK, AR 72205
Pulaski County (501) 227-9080
KELLY LEIGH BASSETT APRN
Nurse Practitioner (Family)
9500 KANIS RD STE 501
LITTLE ROCK, AR 72205
Pulaski County (510) 227-9080
JODIE M CLEMENTSON DO
Surgery
9500 KANIS RD STE 501
LITTLE ROCK, AR 72205
Pulaski County (501) 227-9080
DR. CAMILA BELEN ORTEGA MD
Surgery (Surgical Oncology)
9500 KANIS RD STE 501
LITTLE ROCK, AR 72205
Pulaski County (501) 227-9080
DR. PATRICK MICHAEL FLEEMAN M.D.
Surgery
9500 KANIS RD STE 501
LITTLE ROCK, AR 72205
Pulaski County (501) 227-9080
DR. APRIL BERRY TURNER D.O.
Surgery
9500 KANIS RD STE 501
LITTLE ROCK, AR 72205
Pulaski County (501) 227-9080

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 Andrea Fa's NPI number?

The NPI number for Andrea Fa is 1558822189. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is Andrea Fa located?

Andrea Fa practices at 9500 Kanis Rd Ste 501, Little Rock, AR 72205. The listed phone number is (501) 227-9080.

What is Andrea Fa's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Andrea Fa enrolled in Medicare?

Yes. Andrea Fa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Fa was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.