NPIMap

Individual provider Active NPI

Dominic M. Maggio, M.D.

  • Neurological Surgery Physician
  • Little Rock, AR
National Provider Identifier
1043654338
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
35139771 Issued in OH
Practice address
8201 Cantrell Rd Ste 265
Little Rock, AR 72227-2347
Phone
(501) 661-0077
Fax
(501) 664-2749
NPI assigned
Apr 17, 2013
Last updated
Apr 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 35139771 OH Primary

Addresses

Primary practice location

8201 Cantrell Rd Ste 265
Little Rock, AR 72227-2347

Mailing address

8201 Cantrell Rd Ste 265
Little Rock, AR 72227-2347
Phone (501) 661-0077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210419001043 AR Practitioner - Neurosurgery 1759519515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Miami, LM Miller School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arkansas Neurosurgery Brain and Spine Clinic P.a.Group PAC ID 0345281663, 8 clinicians

Practice addresses (Care Compare)

8201 Cantrell Rd
Suite 265
Little Rock, AR 72227-2347
Phone (501) 661-0077

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion231
Laminectomy or laminotomy (partial removal of spine bones)15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35139771OHMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freeway Surgery Center LLC Current Accepting new patients
Arkansas Neurosurgery Brain & Spine Clinic P.a. Neurological Surgery CurrentSince May 1, 2021 Accepting new patients
Arkansas Neurosurgery Brain & Spine Clinic P.a. Past Accepting new patients

Locations

8201 Cantrell Rd
Ste 265
Little Rock, AR 72227
Phone (501) 225-3333

Interoperability endpoints

  • Direct secure messaging: dominic.maggiomd.p1@direct.legacyneuro.nextgenshare.com

Organizations & group practices 3

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

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1043654338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 CANTRELL RD STE 265",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272347",
            "telephone_number": "501-661-0077",
            "fax_number": "501-664-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 CANTRELL RD STE 265",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272347",
            "telephone_number": "501-661-0077",
            "fax_number": "501-664-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGIO",
        "first_name": "DOMINIC",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-17",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35139771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.