Leo Frances Drolshagen, MD
Individual provider Active NPI Diagnostic Radiology Physician · Fort Smith, AR
NPI 1073589321 · NPPES record last updated Apr 30, 2019
Key facts
- NPI
- 1073589321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- N7034 (AR)
- Practice address
- 5707 Jenny Lind Rd
Fort Smith, AR 72908-7435 - Phone
- (479) 452-9414
- Fax
- (479) 484-0827
- NPI assigned
- Feb 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.96 of 100
- Quality
- 99.75
- Improvement activities
- 40
- Cost
- 70.21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- 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 |
|---|---|---|---|---|
| I20050311000417 | AR | Practitioner - Diagnostic Radiology | 5698729622 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiologists PA | Diagnostic Radiology | Current |
Accepting new patients |
| Radiology Services P a | Diagnostic Radiology | Current |
Accepting new patients |
| Andre J. Nolewajka, MD, PA | Past | Accepting new patients | |
| Prime Medical Imaging, a Division of Radiologists, P.a. | Diagnostic Radiology | Past | Accepting new patients |
| Mercy Hospital Fort Smith | Past |
Accepting new patients |
Locations
6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000
1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980
1501 S Waldron Rd
Ste 109
Fort Smith, AR 72903
Phone (479) 242-3310
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
5707 Jenny Lind Rd
Fort Smith, AR 72908
Phone 4794529416101
320 S 9th St
Van Buren, AR 72956
Phone (479) 474-1616
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | N7034 | AR | Yes |
Addresses
Primary practice location
5707 Jenny Lind Rd
Fort Smith, AR 72908-7435
Mailing address
PO Box 3887
Fort Smith, AR 72913-3887
Phone (479) 452-9414
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100059570A | Medicaid | OK | |
| 115913001 | Medicaid | AR |
Other providers in Fort Smith, AR
- Dragonfly Behavioral Health LLC
- Kathryn Dreamer
- Drew Marr, PLLC
- Rebecca Driver
- Eric Eugene Drolshagen
- Brittney Drost
- Jennifer Lynn Drouillard
- DSW Anesthesia Services LLC
- Kirk Duboise
- Dubuis Health System, Inc.
All providers in Fort Smith, AR · Diagnostic Radiology 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 Apr 30, 2019. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.