DR. THEJOVATHI EDALA M.D
NPI 1962787705
Anesthesiology in Little Rock, AR

Q: What is Thejovathi Edala's NPI number?

The NPI number for Thejovathi Edala is 1962787705. It was assigned to this individual provider in the NPPES registry on October 12, 2011.

Q: What is Thejovathi Edala's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Thejovathi Edala was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 October 12, 2011PECOS Enrolled

4301 W MARKHAM ST, SLOT # 783, LITTLE ROCK, AR 72205(501) 686-8000(501) 526-6562 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 23, 2017, Oct 24, 2016 (2 updates tracked since 2016).

On this page

About Dr. Thejovathi Edala M.d NPPES

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

DR. THEJOVATHI EDALA M.D (NPI 1962787705) is an individual anesthesiology provider in Little Rock, Arkansas, licensed in Arkansas (E-9656) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962787705

Entity TypeIndividualFemale

Primary Taxonomy207L00000X

Provider Legal NameDR. THEJOVATHI EDALACredential: M.D

Location Address4301 W MARKHAM ST, SLOT # 783Little Rock, AR 72205-7101

Mailing Address1501 Rahling Rd Apt 702Little Rock, AR 72223-4656

Phone(501) 686-8000

Fax(501) 526-6562

Sole ProprietorNo

Enumeration DateOctober 12, 2011

Last NPPES UpdateJanuary 23, 20172 updates tracked since enumeration

✔ NPI 1962787705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in AR · E-9656

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedAnesthesiology · Pediatric AnesthesiologyTaxonomy 207LP3000X · License E-9656 (AR)

4301 W MARKHAM ST, Little Rock, AR 72205

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thejovathi Edala M.d 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.

Medicare Billing Reassignments

Medicare enrollment records show Thejovathi Edala reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Arkansas For Medical Sciences

Same address

General Practice

4301 W MARKHAM ST # 528
Little Rock, AR 72205

Reassigned Medicare billing, Arkansas enrollment
Also billed through NPI 1043372220 (Arkansas)
1,246 clinicians in this Medicare group

NPI 1326341488 (501) 614-2006

Arkansas Childrens Professional Services Organization LLC

1.7 mi

Pediatrics

1 CHILDRENS WAY
Little Rock, AR 72202

Reassigned Medicare billing, Arkansas enrollment
653 clinicians in this Medicare group

NPI 1629889464 (501) 364-2526

Arkansas Childrens Hospital

5.1 mi

Pediatrics

1 CHILDRENS WAY # 664
Little Rock, AR 72202

Reassigned Medicare billing, Arkansas enrollment
944 clinicians in this Medicare group

NPI 1598773079 (501) 364-2526

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MRS. LESLEY BROOKE JONES R.D.

Dietitian, Registered

4301 W MARKHAM ST
LITTLE ROCK, AR 72205

Pulaski County (501) 686-6857

NANCY MAALOUF M.D.

Student in an Organized Health Care Education/Training Program

4301 W MARKHAM ST, SLOT # 500
LITTLE ROCK, AR 72205

Pulaski County (501) 296-1165

DR. ARMANDO LEONEL MARTINEZ M.D.

Emergency Medicine

4301 W MARKHAM ST, SLOT 783
LITTLE ROCK, AR 72205

Pulaski County (501) 686-8000

ELENA AMBROGINI MD PHD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

4301 W MARKHAM ST, # 783
LITTLE ROCK, AR 72205

Pulaski County (501) 686-8000

SUKANTHI KOVVURU

Psychiatry & Neurology (Neuromuscular Medicine)

4301 W MARKHAM ST
LITTLE ROCK, AR 72205

Pulaski County (609) 865-3702

DR. TYLER KRISTOPHER ROSE M.D.

Student in an Organized Health Care Education/Training Program

4301 W MARKHAM ST
LITTLE ROCK, AR 72205

Pulaski County (501) 686-8000

ZAIN BLACKWELL

Student in an Organized Health Care Education/Training Program

4301 W MARKHAM ST
LITTLE ROCK, AR 72205

Pulaski County (501) 686-8000

MUHAMMAD JAWAD JAVED MD

Student in an Organized Health Care Education/Training Program

4301 W MARKHAM ST
LITTLE ROCK, AR 72205

Pulaski County (501) 686-8000

ANDREW HILL

Student in an Organized Health Care Education/Training Program

4301 W MARKHAM ST
LITTLE ROCK, AR 72205

Pulaski County (501) 686-8000

LAUREN CHAMBLISS

Student in an Organized Health Care Education/Training Program

4301 W MARKHAM ST
LITTLE ROCK, AR 72205

Pulaski County (501) 686-8000

MS. SOPHIA ELISSA RUSHING

Student in an Organized Health Care Education/Training Program

4301 W MARKHAM ST
LITTLE ROCK, AR 72205

Pulaski County (501) 628-7029

MAKENZIE LOE

Student in an Organized Health Care Education/Training Program

4301 W MARKHAM ST
LITTLE ROCK, AR 72205

Pulaski County (501) 686-8000

CLAIRE ALTHOFF

Student in an Organized Health Care Education/Training Program

4301 W MARKHAM ST
LITTLE ROCK, AR 72205

Pulaski County (501) 650-5333

KATERINE ADELHEID SEYWERD MD

Student in an Organized Health Care Education/Training Program

4301 W MARKHAM ST
LITTLE ROCK, AR 72205

Pulaski County (405) 761-3666

APRIL M HOBBS MS, RD, CSP, LD

Dietitian, Registered

4301 W MARKHAM ST, SLOT 574-01
LITTLE ROCK, AR 72205

Pulaski County (501) 686-5788

MAHESH BAVINENI MD

Internal Medicine

4301 W MARKHAM ST
LITTLE ROCK, AR 72205

Pulaski County (501) 296-1134

SARAH E HOWELL MNSC, CNP, CEN

Nurse Practitioner (Acute Care)

4301 W MARKHAM ST
LITTLE ROCK, AR 72205

Pulaski County (501) 526-2000

PRISCILLA ELIZABETH BALTZ RN

Registered Nurse

4301 W MARKHAM ST
LITTLE ROCK, AR 72205

Pulaski County (479) 530-7617

MUHAMMAD IMRAN MD

Student in an Organized Health Care Education/Training Program

4301 W MARKHAM ST
LITTLE ROCK, AR 72205

Pulaski County (501) 686-8000

EMMA ROUSE

Student in an Organized Health Care Education/Training Program

4301 W MARKHAM ST
LITTLE ROCK, AR 72205

Pulaski County (417) 280-1611

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 Thejovathi Edala's NPI number?

The NPI number for Thejovathi Edala is 1962787705. It was assigned to this individual provider in the NPPES registry on October 12, 2011.

Where is Thejovathi Edala located?

Thejovathi Edala practices at 4301 W Markham St Slot # 783, Little Rock, AR 72205. The listed phone number is (501) 686-8000.

What is Thejovathi Edala's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Thejovathi Edala enrolled in Medicare?

Yes. Thejovathi Edala is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thejovathi Edala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thejovathi Edala reassigns Medicare benefits to 3 organizations: University Of Arkansas For Medical Sciences (Little Rock, AR), Arkansas Childrens Professional Services Organization LLC (Little Rock, AR) and Arkansas Childrens Hospital (Little Rock, AR). Each 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 Thejovathi Edala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thejovathi Edala accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Thejovathi Edala 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 Thejovathi Edala was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.