Siva Sundeep Koppolu, MBBS in North Little Rock, AR

Siva Sundeep Koppolu, MBBS is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in North Little Rock, Arkansas. His current practice location is 3401 Springhill Dr Ste 490, North Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 945-8838.

Siva Sundeep Koppolu is licensed to practice in Arkansas (license number E-15382) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316493943.

Contact Information

	Siva Sundeep Koppolu, MBBS
	3401 Springhill Dr Ste 490, North Little Rock, AR 72117-2933
	(501) 945-8838
	(501) 945-8835

Map and Direction

Physician's Profile

Full Name	Siva Sundeep Koppolu
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	3401 Springhill Dr Ste 490, North Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316493943
Provider Enumeration Date: 09/01/2016
Last Update Date: 09/16/2022

Medicare PECOS Information:

PECOS PAC ID: 9830562784
Enrollment ID: I20230224000461

Medical Identifiers

Medical identifiers for Siva Sundeep Koppolu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316493943	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	TEP 7768 (Nebraska)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	E-15382 (Arkansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Siva Sundeep Koppolu allows following entities to bill medicare on his behalf.

Entity Name	Arkansas Health Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871959874 PECOS PAC ID: 7911802079 Enrollment ID: O20141029001863

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Siva Sundeep Koppolu is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Siva Sundeep Koppolu, MBBS 11001 Executive Center Dr Ste 200, Little Rock, AR 72211-4393 Ph: (501) 945-8838	Siva Sundeep Koppolu, MBBS 3401 Springhill Dr Ste 490, North Little Rock, AR 72117-2933 Ph: (501) 945-8838

Reviews and Comments

Psychiatry & Neurology Doctors in North Little Rock, AR

Dr. Sandra Jean Ellis, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, North Little Rock, AR 72114 Phone: 501-257-3131
Mouad Abdulrahim, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3201 Springhill Dr Ste 300, North Little Rock, AR 72117 Phone: 501-753-4132
Dr. Paula Irene Graham, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2200 Fort Roots Dr, North Little Rock, AR 72114 Phone: 501-257-1000
Jane Jee-sun Kang, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3500 Springhill Dr Ste 100, North Little Rock, AR 72117 Phone: 501-945-8838
Joshua Woolley, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, Building 170 Unit 1l, North Little Rock, AR 72114 Phone: 501-257-3324
Samuel J House, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3201 Springhill Dr Ste 400, North Little Rock, AR 72117 Phone: 501-945-8838 Fax: 501-945-8835
Dr. Mark Aaaron Worley, M.D, PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2200 Fort Roots Dr, 116a-nlr, North Little Rock, AR 72114 Phone: 501-257-3478 Fax: 501-257-3117

Siva Sundeep Koppolu, MBBS - Medicare Psychiatry & Neurology in North Little Rock, AR