Siva Sundeep Koppolu, MBBS - Medicare Psychiatry & Neurology 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



Physician's Profile

Full NameSiva Sundeep Koppolu
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location3401 Springhill Dr Ste 490, North Little Rock, Arkansas
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1316493943NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry TEP 7768 (Nebraska)Secondary
2084P0800XPsychiatry & 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 NameArkansas Health Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871959874
PECOS PAC ID: 7911802079
Enrollment ID: O20141029001863

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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 AddressPractice 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

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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    
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
Dr. Tim Allen Kimbrell, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 2200 Fort Roots Drive, Bldg 170 Unit 2h, North Little Rock, AR 72114
Phone: 501-257-3468    Fax: 501-257-3125

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