Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ayesan Rewane

Individual provider Internal Medicine Physician · NPI 1790363356

Dr. Ayesan Rewane is an Internal Medicine in North Little Rock, Arkansas. Qualified in 2012, 14 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
14
Licensed in
TN
In the registry since
2021
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Practice location Address checks out

3201 Springhill Dr Ste 100
North Little Rock, AR 72117-2905
Phone: (501) 955-4530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10820 Parkside Dr, Knoxville, TN 37934-1956 — (865) 218-7011
  • 7565 Dannaher Dr, Powell, TN 37849-4029 — (931) 502-1000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 70889 (TN)

Record details

NPI number1790363356
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 1, 2021
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in North Little Rock