NPIMap

Individual provider Active NPI

Ryan Fitzgerald, MD

  • Diagnostic Radiology Physician
  • Little Rock, AR
National Provider Identifier
1104949874
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E-5317 Issued in AR
Practice address
9601 Baptist Health Dr Ste 1100
Little Rock, AR 72205-6333
Phone
(501) 227-5240
Fax
(501) 227-9151
NPI assigned
Apr 9, 2007
Last updated
Jan 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X E-5317 AR Primary

Addresses

Primary practice location

9601 Baptist Health Dr Ste 1100
Little Rock, AR 72205-6333

Mailing address

9601 Baptist Health Dr Ste 1100
Little Rock, AR 72205-6333
Phone (501) 227-5240

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
I20120710000390 AR Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 3476718842 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Arkansas College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

11001 Executive Ctr Dr
Suite 200 C
Little Rock, AR 72211-4348
Phone (501) 812-7587

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-5317ARMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Jun 6, 2019 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Radiology Consultants of Little Rock, PA Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jun 6, 2019 Accepting new patients
Arkansas Health Group Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Arkansas Health Group CurrentSince Dec 1, 2024 Accepting new patients

Locations

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

1 Childrens Way
Ste 653
Little Rock, AR 72202

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

11001 Executive Center Dr
Ste 200C
Little Rock, AR 72211
Phone (501) 812-7587

11300 Financial Centre Pkwy
Ste 400
Little Rock, AR 72211
Phone (501) 221-2502

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

9601 Baptist Health Dr
Ste 1100
Little Rock, AR 72205
Phone (501) 748-3210

Interoperability endpoints

  • Direct secure messaging: rfitzgerald4730@direct.baptist-healthar.org

Organizations & group practices 7

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 5

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1104949874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR STE 1100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056333",
            "telephone_number": "501-227-5240",
            "fax_number": "501-227-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR STE 1100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056333",
            "telephone_number": "501-227-5240",
            "fax_number": "501-227-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E-5317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.