NPIMap

Individual provider Active NPI

Danny Eugene Grubbs, M.D.

  • Internal Medicine Physician
  • Jonesboro, AR
National Provider Identifier
1205896347
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C5642 Issued in AR
Practice address
3202 Methodist Dr
Jonesboro, AR 72401-7408
Phone
(870) 932-2221
Fax
(870) 931-3229
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C-5642 AR
Internal Medicine Physician 207R00000X C5642 AR Primary

Addresses

Primary practice location

3202 Methodist Dr
Jonesboro, AR 72401-7408

Mailing address

3202 Methodist Dr
Jonesboro, AR 72401-7408
Phone (870) 932-2221

Other identifiers 2

IdentifierTypeStateIssuer
101837001MedicaidAR
115131002MedicaidAR

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
I20041025000250 AR Practitioner - Internal Medicine 0547221459 Practice locations: Jonesboro, AR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Arkansas College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3202 Methodist Dr
Jonesboro, AR 72401-7408
Phone (870) 932-2221

Hospital & facility affiliations

  • Elite Home Health Home health agency, Jonesboro, AR, CCN 047145
  • Centerwell Home Health Home health agency, Paragould, AR, CCN 047823
  • St Bernards Home Care Home health agency, Jonesboro, AR, CCN 047033
  • Trinity North Home Health LLC Home health agency, Jonesboro, AR, CCN 047044
  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
  • Baptist Memorial Hospital Jonesboro, Inc. Hospital, Jonesboro, AR, CCN 040118
  • St Bernards Five Rivers Medical Center Hospital, Pocahontas, AR, CCN 040779
  • Arkansas Methodist Medical Center Hospital, Paragould, AR, CCN 040039
  • Lawrence Memorial Hospital Hospital, Walnut Ridge, AR, CCN 041309

Merit-based Incentive Payment System (MIPS)

Final score
30.4 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
81.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-5642ARMDEmergency Medicine Physician
C5642ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Danny E Grubbs Internal Medicine CurrentSince Apr 30, 2013 Accepting new patients
Northeast Arkansas Clinic, PA Past Accepting new patients

Locations

3202 Methodist Dr
Jonesboro, AR 72401
Phone (870) 930-9400

3202 Methodist Dr
#M
Jonesboro, AR 72401
Phone (870) 932-2221

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1205896347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 METHODIST DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017408",
            "telephone_number": "870-932-2221",
            "fax_number": "870-931-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 METHODIST DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017408",
            "telephone_number": "870-932-2221",
            "fax_number": "870-931-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBBS",
        "first_name": "DANNY",
        "middle_name": "EUGENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "C-5642",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "C5642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101837001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115131002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.