Neil A Tracy, M.D.
Individual provider Active NPI Pediatrics Physician · Fayetteville, AR
NPI 1053553495 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1053553495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- E-7197 (AR)
- Practice address
- 3215 N. North Hill Road
Fayetteville, AR 72703-4424 - Phone
- (479) 463-7102
- Fax
- (479) 463-7864
- NPI assigned
- Mar 31, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR, MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120725001103 | AR | Practitioner - Pediatric Medicine | 6608032271 | Reassigns benefits to 4 organizations |
| I20250307000188 | MO | Practitioner - Pediatric Medicine | 6608032271 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-7197 | AR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White County Medical Center | Current |
Accepting new patients | |
| Citizens Memorial Healthcare | Current |
Accepting new patients | |
| Washington Regional Medical System | Current |
Accepting new patients | |
| Washington Regional Medical System | Current |
Accepting new patients | |
| University of Arkansas for Medical Sciences | Current |
Accepting new patients | |
| White County Medical Center | Current |
Accepting new patients | |
| White County Medical Center | Current | Accepting new patients | |
| Washington Regional Medical System | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Pediatrics | Current | Accepting new patients |
| St Francis House Nwa, Inc | Current |
Accepting new patients | |
| St. Francis House Nwa, Inc. | Current |
Accepting new patients | |
| Citizens Memorial Healthcare | Pediatrics | Current |
Accepting new patients |
Locations
3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000
2725 Highway 25B
Heber Springs, AR 72543
Phone (501) 362-5800
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874
1200 McLain St
Newport, AR 72112
Phone (870) 523-5272
1233 W Poplar St
Rogers, AR 72756
Phone (479) 636-9235
2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800
500 S Mount Olive St
Siloam Springs, AR 72761
Phone (479) 524-3606
614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898
1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000
1195 N Oakland Ave
Ste 2
Bolivar, MO 65613
Phone (417) 777-2121
1195 N Oakland Ave
Bolivar, MO 65613
Phone (417) 777-2121
Interoperability endpoints
- ntracy41825@washingtonregional.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | E-7197 | AR | Yes |
Addresses
Primary practice location
3215 N. North Hill Road
Fayetteville, AR 72703-4424
Mailing address
PO Box 550
Lowell, AR 72745-0550
Phone (479) 463-6004
Other providers in Fayetteville, AR
- Total Wound Care of Arkansas,LLC
- Orsolya Toth
- Catherine Totten
- Bradley Tow
- Cynthia Townsend
- Ellie Ralston Traeger
- Jeran Elliot Trangle
- Carol A Traphagan
- Dylan Travis
- Jordan Travis
All providers in Fayetteville, AR · Pediatrics Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.