Individual provider Active NPI

Melanie Rachell Pearce Smith, D.O.

  • Diagnostic Radiology Physician
  • Fayetteville, AR
National Provider Identifier
1225177280
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E-18566 Issued in AR
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

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200189070BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100820000529 OK Practitioner - Diagnostic Radiology 9830223213 Reassigns benefits to 1 organization
I20250121001856 AR Practitioner - Diagnostic Radiology 9830223213 Reassigns benefits to 1 organization

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 100Reported as group
Quality
86.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-18566ARMDDiagnostic Radiology Physician
4431OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Northwest Arkansas PA CurrentSince Feb 15, 2025 Accepting new patients
Medical Associates of Northwest Arkansas, PA Diagnostic Radiology Current Accepting new patients
Medical Associates of Northwest Arkansas PA CurrentSince Feb 15, 2025 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.