POOJA RATNA REVANNA MD
NPI 1528763000
Student in an Organized Health Care Education/Training Program in Little Rock, AR
NPI Status: Active since April 03, 2023
Contact Information
4301 W MARKHAM ST
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 364-5115
- Individual
- Female
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About POOJA REVANNA
This page provides the complete NPI Profile along with additional information for Pooja Revanna, a primary care provider established in Little Rock, Arkansas with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1528763000 assigned on April 2023. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1528763000
- Provider Name
- POOJA RATNA REVANNA MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4301 W MARKHAM ST LITTLE ROCK, AR 72205
- Location Phone
- (501) 364-5115
- Mailing Address
- 5933 WINDHAM CT MOBILE, AL 36608
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-03-2023
- Last Update Date
- 04-03-2023
- Code Navigator
A primary care provider (PCP) like Pooja Revanna sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Pooja Revanna is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 7 | 6 | 3 | 0 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 14 | 6 | 6 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 1 + 4 + 6 + 6 + 0 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1528763000 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811998487 | DR. JAN K HASTINGS Individual | Pharmacist | 4301 W MARKHAM ST #522 LITTLE ROCK, AR 72205 (501) 686-6472 |
| 1700873650 | DR. AUDRA R THOMAS PHARM.D., BCPS Individual | Pharmacist | 4301 W MARKHAM ST LITTLE ROCK, AR 72205 (501) 686-8244 |
| 1053300996 | MISS SHANNON N BARRINGER M.S. Individual | Genetic Counselor, MS | 4301 W MARKHAM ST UAMS #506 LITTLE ROCK, AR 72205 (501) 296-1700 |
| 1417937434 | FREDERICK R BENTLEY MD Individual | Surgery | 4301 W MARKHAM ST #520 LITTLE ROCK, AR 72205 (501) 686-7428 |
| 1245209683 | MRS. MARY ANN FLOYD LANGSTON ANP Individual | Nurse Practitioner | 4301 W MARKHAM ST SLOT #783 LITTLE ROCK, AR 72205 (501) 614-2125 |
| 1841251626 | MS. KRISTIN LEIGH BALDWIN M.S. Individual | Genetic Counselor, MS | 4301 W MARKHAM ST SLOT 506 LITTLE ROCK, AR 72205 (501) 296-1732 |
| 1740248459 | DR. WILLIAM DOWELL MCKNIGHT MD Individual | Internal Medicine (Gastroenterology) | 4301 W MARKHAM ST #567 LITTLE ROCK, AR 72205 (501) 686-5177 |
| 1669421681 | SANJAYA VISWAMITRA M.D. Individual | Radiology (Diagnostic Radiology) | 4301 W MARKHAM ST UNIVERSITY OF ARKANSAS, DEPT OF RADIOLOGY LITTLE ROCK, AR 72205 (501) 686-6902 |
| 1780638536 | DR. MICHAEL V BEHESHTI M.D. Individual | Radiology (Vascular & Interventional Radiology) | 4301 W MARKHAM ST #556 LITTLE ROCK, AR 72205 (501) 686-8374 |
| 1609820802 | DR. MADELEINE S. DEMING M. D. Individual | Internal Medicine | 4301 W MARKHAM ST SLOT 641 LITTLE ROCK, AR 72205 (501) 686-5236 |
| 1508804899 | GOHAR AZHAR M.D. Individual | Internal Medicine (Geriatric Medicine) | 4301 W MARKHAM ST REYNOLDS CENTER ON AGING #748 LITTLE ROCK, AR 72205 (501) 526-5821 |
| 1639107394 | JASON S MIZELL M.D. Individual | Colon & Rectal Surgery | 4301 W MARKHAM ST #520-1 LITTLE ROCK, AR 72205 (501) 686-8000 |
| 1902811839 | PROF. MARTIN HAUER-JENSEN M.D., PH.D. Individual | Surgery | 4301 W MARKHAM ST SLOT 725 LITTLE ROCK, AR 72205 (501) 686-7912 |
| 1265447171 | KRISTIN A JARRARD M.D. Individual | Physical Medicine & Rehabilitation | 4301 W MARKHAM ST 602A LITTLE ROCK, AR 72205 (501) 221-1311 |
| 1215942198 | DR. RONDA SHIRLETTA HENRY-TILLMAN M.D. Individual | Surgery (Surgical Oncology) | 4301 W MARKHAM ST SLOT 725 LITTLE ROCK, AR 72205 (501) 686-6503 |
| 1932115961 | DR. DANNY LEE WILKERSON M.D. Individual | Anesthesiology | 4301 W MARKHAM ST SLOT 515 LITTLE ROCK, AR 72205 (501) 686-6667 |
| 1699781450 | ELEANOR ANN LIPSMEYER M.D. Individual | Internal Medicine (Rheumatology) | 4301 W MARKHAM ST SLOT 509 LITTLE ROCK, AR 72205 (501) 686-5586 |
| 1043220791 | DR. PHAM HIEU LIEM MD Individual | Family Medicine (Geriatric Medicine) | 4301 W MARKHAM ST 748 LITTLE ROCK, AR 72205 (501) 686-5944 |
| 1083624530 | AMMAR N SAFAR MD Individual | Ophthalmology | 4301 W MARKHAM ST 523 LITTLE ROCK, AR 72205 (501) 686-5150 |
| 1801806609 | DR. JULIO HOCHBERG MD Individual | Plastic Surgery | 4301 W MARKHAM ST LITTLE ROCK, AR 72205 (501) 686-8711 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528763000, enumerated in the NPI registry as an "individual" on April 03, 2023
The provider is located at 4301 W Markham St Little Rock, Ar 72205 and the phone number is (501) 364-5115
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 03, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.