Benjamin Wagner Carlyle, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E-7051 Issued in AR

Practice address

3150 E Heritage Pkwy Ste 1
Farmington, AR 72730-5529

Phone

(479) 400-1140

Fax

(479) 400-1151

NPI assigned

May 26, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Arkansas College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

ArcareGroup PAC ID 2567370620, shared by 102 NPIs, 249 clinicians

Prestige Care, PLLCGroup PAC ID 3476072992, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: benjamin.carlyle@arcare.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prestige Care, PLLC

  • Family Medicine Physician
  • Jonesboro, AR
  • NPI 1346032208

  AR, Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Carlyle Care Clinic, PLLC

  • Internal Medicine Physician
  • Fayetteville, AR
  • NPI 1508675612

  AR, Internal Medicine

  Medicare reassignment NPD Authorized official
• Arkansas Emergency Staffing Solutions, Inc

  • Emergency Medicine Physician
  • Hope, AR
  • NPI 1275774630

  AR

  Medicare reassignment NPD
• Prestige Care, PLLC

  • Family Medicine Physician
  • Paragould, AR
  • NPI 1922899368

  Family Medicine

  NPD Authorized official
• Arcare

  • Federally Qualified Health Center (FQHC)
  • Augusta, AR
  • NPI 1275635542
  NPD
• Arcare

  • Federally Qualified Health Center (FQHC)
  • Jacksonville, AR
  • NPI 1821802729
  NPD

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

{
    "created_epoch": "1211760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1184882383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 E HERITAGE PKWY STE 1",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727305529",
            "telephone_number": "479-400-1140",
            "fax_number": "479-400-1151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 E Millsap Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727034862",
            "country_code": "US",
            "telephone_number": "479-480-7150",
            "fax_number": "479-777-9881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLYLE",
        "first_name": "BENJAMIN",
        "middle_name": "WAGNER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-26",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-7051",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AR",
            "license": "E-7051",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-7051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190430001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Farmington, AR
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.