GARY EDWIN ALLEN, M.D. — NPI 1063467256 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology in LITTLE ROCK, AR)

CMS-1500 Box 24J / 33a • NPI

1063467256

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2085R0204X (CMS 94)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology

Box 32 Service Location & ZIP+4

13501 CHENAL PKWY STE 102, LITTLE ROCK, AR, 72211-5262

✓ 9-Digit EDI 837 ZIP+4 (72211-5262)

Practice Phone & Referral Fax

(281) 888-8999

Fax: (281) 305-4054

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1063467256 (GARY EDWIN ALLEN, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1063467256` (NPI-1 Individual Practitioner)
Provider / Legal Name	GARY EDWIN ALLEN, M.D.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology NUCC Code: `2085R0204X` (Radiology, Vascular & Interventional Radiology)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	13501 CHENAL PKWY STE 102, LITTLE ROCK, AR, 72211-5262
Practice Telephone / Fax	Tel: (281) 888-8999 \| Fax: (281) 305-4054
Administrative Mailing Address	P.O. BOX 735863, DALLAS, TX, 75373-5863
Enumeration & Last Sync	Enumerated: 2006-05-24 \| CMS Record Updated: 2024-07-02

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

13501 CHENAL PKWY STE 102, LITTLE ROCK, AR, 72211-5262

🗺️ Open in Google Maps 🏥 More Providers in LITTLE ROCK

🔒 Are you GARY EDWIN ALLEN, M.D.? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (2085R0204X)

What Does Taxonomy Code 2085R0204X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2085R0204X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 94 (Physician/Interventional Radiology)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Radiology, Vascular & Interventional Radiology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (GARY EDWIN ALLEN, M.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2085R0204X` — Radiology, Vascular & Interventional Radiology Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology	State: AR \| License: `C8226` \| Primary: Secondary
`2085R0204X` — Radiology, Vascular & Interventional Radiology Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology	State: TX \| License: `J9611` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

GARY EDWIN ALLEN, M.D. (NPI #1063467256)