NPIMap

Individual provider Active NPI

Allan B Hatch, MD

  • Interventional Cardiology Physician
  • Benton, AR
National Provider Identifier
1114919107
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
E0963 Issued in AR
Practice address
1000 Highway 35 N
Suite 8
Benton, AR 72019-2351
Phone
(501) 315-4008
Fax
(501) 315-3411
NPI assigned
Aug 17, 2005
Last updated
Sep 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X E0963 AR Primary

Addresses

Primary practice location

1000 Highway 35 N
Suite 8
Benton, AR 72019-2351

Mailing address

1000 Highway 35 N Ste 8
P.O. Box 2860
Benton, AR 72019-2351
Phone (501) 315-4008

Other identifiers 2

IdentifierTypeStateIssuer
1104959410OtherARGROUP - NPI
129524001MedicaidAR

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
I20040713001293 AR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9537146675 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Brody School of Medicine at East Carolina University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saline Heart Group PAGroup PAC ID 3274510318, 2 clinicians

Practice addresses (Care Compare)

1000 Hwy 35 N
Suite 8
Benton, AR 72019-2353
Phone (501) 315-4008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.38 of 100Reported as group
Quality
100
Improvement activities
40
Cost
83.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E0963ARMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saline Heart Group, P.a. CurrentSince Jul 15, 2016 Accepting new patients
Saline Heart Rehab and Dietary Services LLC CurrentSince Jan 14, 2020 Accepting new patients
Saline Heart Rehab and Dietary Srvices CurrentSince Apr 15, 2011 Accepting new patients
Arkansas Cardiology Past Accepting new patients
Little Rock Cardiology Clinic, PA Past Accepting new patients
St. Vincent Medical Group Past Accepting new patients
St Vincent Physician Clinics LLC Past Accepting new patients
Paul J Baxley, M.D., P.a. Past Accepting new patients

Locations

1000 Highway 35 N
Ste 8
Benton, AR 72019
Phone (501) 315-4008

5 Medical Park Dr
Ste 306
Benton, AR 72015
Phone (501) 315-4008

Interoperability endpoints

  • Direct secure messaging: allanhatch@71.securemail.prognocis.com

Organizations & group practices 10

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 1

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1114919107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 35 N STE 8",
            "address_2": "P.O. BOX 2860",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720192351",
            "telephone_number": "501-315-4008",
            "fax_number": "501-315-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 35 N",
            "address_2": "SUITE 8",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720192351",
            "telephone_number": "501-315-4008",
            "fax_number": "501-315-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCH",
        "first_name": "ALLAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AR",
            "license": "E0963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP - NPI",
            "identifier": "1104959410",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129524001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

Verify at the official NPI Registry.