PRATEEK DHAR WALI MD
NPI 1972775286
Pediatrics - Pediatric Gastroenterology in Little Rock, AR

Q: What is Prateek Wali's NPI number?

The NPI number for Prateek Wali is 1972775286. It was assigned to this individual provider in the NPPES registry on March 26, 2008.

Q: What is Prateek Wali's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Prateek Wali was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since March 26, 2008PECOS Enrolled

1 CHILDRENS WAY # 512, LITTLE ROCK, AR 72202(501) 364-1100(501) 364-4082 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Prateek Dhar Wali Md NPPES

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

PRATEEK DHAR WALI MD (NPI 1972775286) is an individual pediatric gastroenterology provider in Little Rock, Arkansas, licensed in Arkansas (E-18368) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Syracuse.

NPPES Registry Identity

NPI1972775286

Entity TypeIndividualMale

Primary Taxonomy2080P0206X

Provider Legal NamePRATEEK DHAR WALICredential: MD

Location Address1 CHILDRENS WAY # 512Little Rock, AR 72202-3500

Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-4082

Phone(501) 364-1100

Fax(501) 364-4082

Sole ProprietorNo

Enumeration DateMarch 26, 2008

Last NPPES UpdateDecember 11, 2024

NPPES CertifiedDecember 11, 2024

✔ NPI 1972775286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

Licenses✔ Licensed in AR · E-18368✔ Licensed in NY · 257394

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedPediatricsTaxonomy 208000000X · License E-18368 (AR)

1 CHILDRENS WAY # 512, Little Rock, AR 72202

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Secondary Practice Location 1

Location 1725 Irving Ave, Crouse POB Ste 805Syracuse, NY 13210-1603 · Phone (315) 464-8444 · Fax (315) 464-8445

Other Identifiers 1

Medicaid03241623NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prateek Dhar Wali Md 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 Prateek Wali reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arkansas Childrens Hospital

Same address

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

Arkansas Childrens Professional Services Organization LLC

3.4 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

University Of Arkansas For Medical Sciences

3.4 mi

Psychologist

1 CHILDRENS WAY # 653
Little Rock, AR 72202

Reassigned Medicare billing, Arkansas enrollment
1,246 clinicians in this Medicare group

NPI 1114255353 (501) 364-1100

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

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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

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 17

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

MEGAN E CHILDRESS

Pediatrics (Pediatric Cardiology)