Individual provider Active NPI

Sommer Ballard

  • Audiologist
  • Little Rock, AR
National Provider Identifier
1164950507
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
436 Issued in AR
Practice address
10201 Kanis Rd
Little Rock, AR 72205-6203
Phone
(501) 227-3800
NPI assigned
May 30, 2017
Last updated
Dec 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 436 AR Primary
Audiologist-Hearing Aid Fitter 237600000X NU

Addresses

Primary practice location

10201 Kanis Rd
Little Rock, AR 72205-6203

Mailing address

10201 Kanis Rd
Little Rock, AR 72205-6203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180103002130 AR Practitioner - Qualified Audiologist 8729346382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1715 W Main St
Heber Springs, AR 72543-2835
Phone (501) 362-0606

Merit-based Incentive Payment System (MIPS)

Final score
87.55 of 100Reported as group
Quality
93.4
Promoting interoperability
91
Improvement activities
40
Cost
72.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
436ARMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Otolaryngology Center, P.a. CurrentSince Nov 17, 2017 Accepting new patients
Arkansas Otolaryngology Center, P.a. CurrentSince Nov 17, 2017 Accepting new patients

Locations

1715 W Main St
Heber Springs, AR 72543
Phone (501) 361-0606

10201 Kanis Rd
Little Rock, AR 72205
Phone (501) 221-5050

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1164950507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056203",
            "telephone_number": "501-227-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "SOMMER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "436",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.