Cyril E Severns, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

E2217 Issued in AR

Practice address

7900 Dallas St
Fort Smith, AR 72903-5690

Phone

(479) 242-6647

Fax

(479) 250-0505

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

87.43 of 100Reported as group

Quality

74.86

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cyril.severns@forefrontdermatology.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Dermatology & Skin Cancer Center, LLC

  • Clinic/Center
  • Fayetteville, AR
  • NPI 1245426162
  Medicare reassignment NPD
• Northwest Dermatology Clinic, P.a.

  • Dermatopathology Physician
  • Springdale, AR
  • NPI 1366490997

  Dermatology

  NPD (past)
• Sparks Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Fort Smith, AR
  • NPI 1801995873
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1013904176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 DALLAS ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035690",
            "telephone_number": "479-242-6647",
            "fax_number": "479-250-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 DALLAS ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035690",
            "telephone_number": "479-242-6647",
            "fax_number": "479-250-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERNS",
        "first_name": "CYRIL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AR",
            "license": "E2217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139030001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eyerusalem Belachew Seleshi
• Seubold Chiropractic Clinic
• Seubold Chiropractic Clinic PLLC
• Henry Lind Seubold, DC
• Joshua Donald Seubold, D.C.
• Emma Sewell, DPT
• Jennifer Lynn Sewell, CRNA
• Muhammad Usman Shahbaz
• Ghazia Shamim, MBBS
• Joseph Edward Shamp, BE BOCO, LPOA

• Dermatology Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Dermatology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.