Individual provider Active NPI

Sheldon Riklon, M.D.

  • Family Medicine Physician
  • Springdale, AR
National Provider Identifier
1053556332
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-9975 Issued in AR
Practice address
610 E Emma Ave Ste C
Springdale, AR 72764-4685
Phone
(479) 751-7417
Fax
(479) 751-4898
NPI assigned
Dec 15, 2008
Last updated
Mar 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-9975 AR Primary
Family Medicine Physician 207Q00000X MD 11431 HI

Addresses

Primary practice location

610 E Emma Ave Ste C
Springdale, AR 72764-4685

Mailing address

614 E Emma Ave Ste 300
Springdale, AR 72764-4469
Phone (479) 751-7417

Other practice location 1

2855 E Joyce Blvd
Fayetteville, AR 72703-4524
Phone (479) 521-7615

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160906001938 AR Practitioner - Family Practice 2567519614 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Hawaii John a. Burns School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Francis House Nwa, Inc.Group PAC ID 0042262495, 67 clinicians
University of Arkansas for Medical SciencesGroup PAC ID 4082528955, shared by 29 NPIs, 1,159 clinicians

Practice addresses (Care Compare)

500 S Mount Olive St
Siloam Springs, AR 72761-3602
Phone (479) 524-9550

601 W Maple Ave
102 Northwest Family Med CT
Springdale, AR 72764-5370
Phone (479) 750-6585

614 E Emma Ave
Springdale, AR 72764-4469
Phone (479) 751-7417

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Aug 5, 2016 Accepting new patients
St Francis House Nwa, Inc CurrentSince Aug 1, 2016 Accepting new patients
St Francis House Nwa, Inc CurrentSince Dec 16, 2020 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Aug 5, 2016 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Aug 5, 2016 Accepting new patients
St. Francis House Nwa, Inc. CurrentSince Aug 1, 2016 Accepting new patients
St Francis House Nwa, Inc Current Accepting new patients

Locations

1125 N College Ave
Fayetteville, AR 72703
Phone (479) 521-8260

375 N Rupple Rd
Fayetteville, AR 72704
Phone (479) 718-0200

1233 W Poplar St
Rogers, AR 72756
Phone (479) 636-9235

304 S Maxwell St
Siloam Springs, AR 72761
Phone (479) 524-9550

420 N West End St
Springdale, AR 72764
Phone (479) 750-8859

601 W Maple Ave
Ste 102
Springdale, AR 72764
Phone (479) 750-6585

610 E Emma Ave
Ste C
Springdale, AR 72764

614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898

Interoperability endpoints

  • Direct secure messaging: sheldon.riklon@ccn.eclinicaldirectplus.com
  • Direct secure messaging: sheldon.riklon@hawaiihie.medicity.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Circle of LifeSpringdale, AR, CCN 041529 Hospice Corporate Director Jan 18, 2021
Circle of Life Home-Based CareColcord, OK, CCN 371751 Hospice Corporate Director Jan 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1053556332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E EMMA AVE STE 300",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644469",
            "telephone_number": "479-751-7417",
            "fax_number": "479-751-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E EMMA AVE STE C",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644685",
            "telephone_number": "479-751-7417",
            "fax_number": "479-751-4898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2855 E Joyce Blvd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727034524",
            "country_code": "US",
            "telephone_number": "479-521-7615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIKLON",
        "first_name": "SHELDON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-15",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-9975",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD 11431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.