Walmart Health Ny Telemedicine PLLC
NPI 1417691353 · General Practice Physician · Bentonville, AR
Walmart Health Ny Telemedicine PLLC is a General Practice Physician organization in Bentonville, AR (NPI 1417691353).
Provider details
- NPI number
- 1417691353
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Shen, Owner(512) 779-7276
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Pegus Telemedicine PLLC
- Former legal business name
- Pulluru Telemedicine PLLC
Registry dates
- Enumerated
- 2022-04-26
- Last updated
- 2024-02-13
- Certified
- 2024-02-13
Frequently asked questions
- What is Walmart Health Ny Telemedicine PLLC's NPI number?
- Walmart Health Ny Telemedicine PLLC's National Provider Identifier (NPI) is 1417691353, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Walmart Health Ny Telemedicine PLLC?
- Walmart Health Ny Telemedicine PLLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Walmart Health Ny Telemedicine PLLC located?
- Walmart Health Ny Telemedicine PLLC's practice location on file with NPPES is 702 Sw 8th St # Ms 0215, Bentonville, AR 72716-6209.
- What is Walmart Health Ny Telemedicine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Walmart Health Ny Telemedicine PLLC is (479) 258-2080.
- Who is the authorized official for Walmart Health Ny Telemedicine PLLC?
- The authorized official listed on Walmart Health Ny Telemedicine PLLC's NPPES record is Mark Shen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Walmart Health Ny Telemedicine PLLC's NPI active?
- Yes — Walmart Health Ny Telemedicine PLLC's NPI (1417691353) is active in the NPPES registry as of the last update on 2024-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.