Active NPI
Melanie Rachell Pearce Smith, D.O.
- Diagnostic Radiology Physician
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- E-18566
- Practice address
- 55 W Sunbridge Dr
Fayetteville, AR 72703-1825 - Phone
- (479) 442-6266
- Fax
- (479) 521-3877
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4431 | OK | |
| Diagnostic Radiology Physician | 2085R0202X | E-18566 | AR | Primary |
Addresses
Primary practice location
55 W Sunbridge Dr
Fayetteville, AR 72703-1825
Mailing address
PO Box 1523
Fayetteville, AR 72702-1523
Phone (479) 571-6038
Other practice location 1
4401 S Western Ave
Oklahoma City, OK 73109-3413
Phone (405) 636-7120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200189070B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 W Sunbridge Dr
Fayetteville, AR 72703-1825
Phone (479) 521-8200
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 86.67
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-18566 | AR | MD | Diagnostic Radiology Physician |
| 4431 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Northwest Arkansas PA | Current | Accepting new patients | |
| Medical Associates of Northwest Arkansas, PA | Diagnostic Radiology | Current | Accepting new patients |
| Medical Associates of Northwest Arkansas PA | Current | Accepting new patients | |
| Medical Associates of Northwest Arkansas PA | Diagnostic Radiology | Past | Accepting new patients |
| Medical Associates of Northwest Arkansas PA | Past | Accepting new patients |
Locations
416 Town Ctr NE
Ste 416
Bella Vista, AR 72714
Phone (866) 718-6266
801 SE Plaza Ave
Ste 5
Bentonville, AR 72712
Phone (479) 271-0073
55 W Sunbridge Dr
Fayetteville, AR 72703
Phone (479) 442-5266
3344 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 582-7213
502 N Walnut St
Harrison, AR 72601
Phone (866) 718-6266
Interoperability endpoints
- mpearcesmith49613@washingtonregional.direct-ci.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Fayetteville, AR
- NPI 1801847827
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Oklahoma City, OK
- NPI 1528000288
-
- Pediatrics Physician
- Fayetteville, AR
- NPI 1083059109
-
- Family Medicine Physician
- Lowell, AR
- NPI 1912883273
-
- Podiatrist
- Fayetteville, AR
- NPI 1164140729
-
- Family Medicine Physician
- Fayetteville, AR
- NPI 1710218995
Diagnostic Radiology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1225177280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1523",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727021523",
"telephone_number": "479-571-6038",
"fax_number": "479-582-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 W SUNBRIDGE DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727031825",
"telephone_number": "479-442-6266",
"fax_number": "479-521-3877"
}
],
"practiceLocations": [
{
"address_1": "4401 S Western Ave",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731093413",
"country_code": "US",
"telephone_number": "405-636-7120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEARCE SMITH",
"first_name": "MELANIE",
"middle_name": "RACHELL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "4431",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AR",
"license": "E-18566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200189070B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.