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MINA MICHAEL LLC
NPI 1912789835
Internal Medicine in Conway, AR

Active since October 16, 2023
1355 DAVE WARD DR STE 102, CONWAY, AR 72034(346) 907-4805 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2024, Nov 6, 2023, Oct 16, 2023 (3 updates tracked since 2023).

About Mina Michael Llc NPPES

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

MINA MICHAEL LLC (NPI 1912789835) is a healthcare organization registered as an internal medicine in Conway, Arkansas and active in the NPI registry since October 2023. The organization lists Mina Michael Kamel Michael, Owner Of Entity, as its authorized official.

NPPES Registry Identity

NPI1912789835
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMINA MICHAEL LLC
Location Address1355 DAVE WARD DR STE 102Conway, AR 72034-7082
Mailing AddressPo Box 242198Little Rock, AR 72223-0021 · (346) 907-4805
Phone(346) 907-4805
Organization SubpartNo
Authorized OfficialMina Michael Kamel MichaelOwner Of Entity · (346) 907-4805
Enumeration DateOctober 16, 2023
Last NPPES UpdateMay 6, 20243 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
✔ NPI 1912789835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
1355 DAVE WARD DR STE 102, Conway, AR 72034
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mina Michael Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mina Michael LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mina Michael
Internal Medicine
NPI 1124687157
9501 BAPTIST HEALTH DR STE 600
Little Rock, AR 72205
(501) 202-7395
✔ PECOS✔ Accepts Medicare23 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 Mina Michael LLC's NPI number?

The NPI number for Mina Michael LLC is 1912789835. It was assigned to this organization in the NPPES registry on October 16, 2023.

Where is Mina Michael LLC located?

Mina Michael LLC is located at 1355 Dave Ward Dr Ste 102, Conway, AR 72034. The listed phone number is (346) 907-4805.

What is Mina Michael LLC's specialty?

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

Is Mina Michael LLC enrolled in Medicare?

Yes. Mina Michael LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mina Michael LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Mina Michael LLC. 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.

When was this NPI record last updated?

The NPPES record for Mina Michael LLC was last updated on May 6, 2024. 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.