Northwest Arkansas Internal Medicine, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTHWEST ARKANSAS INTERNAL MEDICINE, PLLC

Practice address

2805 Mid Cities Dr
Suite 3
Bentonville, AR 72712-4270

Phone

(479) 876-8866

NPI assigned

Jan 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ruben Tejada, MDNPI 1053473231

Title

Owner

Phone

(479) 751-8881

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruben Tejada, M.D.

  • Internal Medicine Physician
  • Rogers, AR
  • NPI 1053473231
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1053615211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 MID CITIES DR",
            "address_2": "SUITE 3",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124270",
            "telephone_number": "479-876-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 MID CITIES DR",
            "address_2": "SUITE 3",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124270",
            "telephone_number": "479-876-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ARKANSAS INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "TEJADA",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-751-8881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Northrip, MHPP
• Northwest Arkansas Classical Academy
• Northwest Arkansas HBP Services LLC
• Northwest Arkansas Immunization
• Northwest Arkansas Integrated Medical, Inc
• Northwest Arkansas Primary Care Physicians, PA
• Northwest Arkansas Renal Dialysis Associates
• Northwest Benton County Physician Services LLC
• Northwest Counseling, Inc.
• Northwest Health & Lifestyle Centre

• Internal Medicine Physician in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.