Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255892618 Individual Practitioner Female Practitioner

Dr. Kisha Rogers , MD

Pediatrics • Benton, AR

Professional Overview & Biography Verified Profile Summary

Dr. Kisha Rogers, MD is a registered healthcare professional specializing in Pediatrics in Benton, AR. Practice services are available at 1 MEDICAL PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Medical Park Dr

Benton, AR 720153353

Telephone 5017766000
Associated Practice Facility / Clinic
🏢 Saline Hospital Llc Facility NPI 1235111071

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Benton, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
9 Specialists

Practicing in Benton, AR (522 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-06
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AR E16978

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Matthew Pruitt , PA-C

Physician Assistant

NPI 1023475878

Physician Assistant (Certified)

Dr. Raymond Quilao , MD

Emergency Medicine

NPI 1023647310

Doctor of Medicine (M.D.)

Dr. George Dicus , MD

Internal Medicine

NPI 1033100433

Doctor of Medicine (M.D.)

NPI 1033405824

Doctor of Medicine (M.D.)

Haley Ledbetter , APRN

Nurse Practitioner - Family

NPI 1033949409

Advanced Practice Registered Nurse

NPI 1063894194

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 12, 2023

Registered at 1 MEDICAL PARK DR, BENTON, AR 720153353 (Tel: 5017766000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2023

Pediatrics (License #E16978 in AR)

NPI Profile Active March 28, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2019

Registered at 4301 W MARKHAM ST # 634, LITTLE ROCK, AR 722057101 (Tel: 5016865162)

📍
Updated Business Mailing Address March 28, 2019

Registered at 3359 KRUSE LOOP, ALEXANDER, AR 720028844 (Tel: 4792164368)

👤
Provider Name / Credentials Updated March 28, 2019

Recorded as KISHA ROGERS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 28, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255892618
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2019
Last Update: October 12, 2023
Sole Proprietor: Yes

Mailing Address

3359 Kruse Loop

Alexander, AR 720028844

Phone: 4792164368

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.