ARKANSAS LIVER AND GASTROENTEROLOGY, P.A. — NPI 1316493307 (Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) in MENA, AR)

CMS-1500 Box 24J / 33a • NPI

1316493307

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207RG0100X (CMS 10)

Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)

Box 32 Service Location & ZIP+4

1103 COLLEGE DR, MENA, AR, 71953-2519

✓ 9-Digit EDI 837 ZIP+4 (71953-2519)

Practice Phone & Referral Fax

(479) 242-2888

Fax: (479) 242-2889

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1316493307 (ARKANSAS LIVER AND GASTROENTEROLOGY, P.A.) 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1316493307` (NPI-2 Organization / Facility)
Provider / Legal Name	ARKANSAS LIVER AND GASTROENTEROLOGY, P.A.
Plain-English Specialty	Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) NUCC Code: `207RG0100X` (Internal Medicine, Gastroenterology)
Certifying / Licensing Body	American Board of Internal Medicine — Gastroenterology
Practice Location Address	1103 COLLEGE DR, MENA, AR, 71953-2519
Practice Telephone / Fax	Tel: (479) 242-2888 \| Fax: (479) 242-2889
Administrative Mailing Address	3416 OLD GREENWOOD RD, FORT SMITH, AR, 72903-5462
Enumeration & Last Sync	Enumerated: 2016-08-30 \| CMS Record Updated: 2016-09-27
Authorized Official	IHAB HERRAKA (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1103 COLLEGE DR, MENA, AR, 71953-2519

🗺️ Open in Google Maps 🏥 More Providers in MENA

🔒 Are you ARKANSAS LIVER AND GASTROENTEROLOGY, P.A.? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (207RG0100X)

What Does Taxonomy Code 207RG0100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RG0100X translates to:
"Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 10 (Physician/Gastroenterology) • CMS Code 11 (Physician/Internal Medicine)
Certifying / Accrediting Authority: American Board of Internal Medicine — Gastroenterology
Clinical Scope: Rectal bleeding, hemorrhoids, persistent acid reflux, difficulty swallowing, jaundice (elevated bilirubin), fatty liver disease, or colon cancer screening.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ARKANSAS LIVER AND GASTROENTEROLOGY, P.A.)

Typical CPT / Diagnostic Procedures:

Screening & Diagnostic Colonoscopy with Polypectomy (CPT 45378–45385)
Esophagogastroduodenoscopy / Upper GI Endoscopy (EGD — CPT 43239)
Hepatic Elastography (FibroScan) & Fractionated Bilirubin/LFT Workup
Internal Hemorrhoid Banding & Anorectal Diagnostic Evaluation

Common Therapeutic Classes:

Proton Pump Inhibitors (Omeprazole, Pantoprazole, Esomeprazole)
H. pylori Quadruple & Triple Eradication Regimens
Mesalamine & Biologic Immunomodulators (Inflammatory Bowel Disease)
Osmotic Laxatives, Rifaximin & Ursodeoxycholic Acid

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207RG0100X` — Internal Medicine, Gastroenterology Plain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)	State: AR \| License: `Verified` \| 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

ARKANSAS LIVER AND GASTROENTEROLOGY, P.A. (NPI #1316493307)