DR. EBAA A. JASTANIAH M.D., M.P.H
NPI 1760892566
Pediatrics in Little Rock, AR

Q: What is Ebaa Jastaniah's NPI number?

The NPI number for Ebaa Jastaniah is 1760892566. It was assigned to this individual provider in the NPPES registry on May 1, 2014.

Q: What is Ebaa Jastaniah's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ebaa Jastaniah was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 01, 2014PECOS Enrolled

1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202(501) 364-1100 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2020, Nov 2, 2016 (2 updates tracked since 2016).

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About Dr. Ebaa A. Jastaniah M.d., M.p.h NPPES

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

DR. EBAA A. JASTANIAH M.D., M.P.H (NPI 1760892566) is an individual pediatrics provider in Little Rock, Arkansas, licensed in Arkansas (E-13378) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1760892566

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. EBAA A. JASTANIAHCredential: M.D., M.P.H

Location Address1 CHILDRENS WAY # 653Little Rock, AR 72202-3500

Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100

Phone(501) 364-1100

Sole ProprietorNo

Enumeration DateMay 1, 2014

Last NPPES UpdateSeptember 14, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2020

✔ NPI 1760892566 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-13378

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

1 CHILDRENS WAY # 653, Little Rock, AR 72202

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Secondary Practice Location 1

Location 1140 High StreetSpringfield, MA 01109-1442 · Phone (413) 794-5084

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ebaa A. Jastaniah M.d., M.p.h 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 72202 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.

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