Active NPI
John Keith Hedgecock, MD
- Diagnostic Radiology Physician
- Rogers, AR
National Provider Identifier
1245295443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- C-8265
- Practice address
- 2710 Rife Medical Lane
Rogers, AR 72758-1452 - Phone
- (479) 338-8000
- Fax
- (501) 664-0302
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- 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 | C8265 | AR | |
| Diagnostic Radiology Physician | 2085R0202X | C-8265 | AR | Primary |
Addresses
Primary practice location
2710 Rife Medical Lane
Rogers, AR 72758-1452
Mailing address
PO Box 1559
Dept 241
Tulsa, OK 74101-1559
Phone (877) 243-8418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134366001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061101000215 | AR | Practitioner - Diagnostic Radiology | 5698772895 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Arkansas College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pinnacle Radiology PLLC
Practice addresses (Care Compare)
2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (918) 392-1705
Hospital & facility affiliations
- Mercy Hospital Northwest Arkansas
- Mercy Hospital Berryville
- Mercy Hospital Springfield
- Mercy Hospital - Cassville
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.46 of 100
- Quality
- 74.88
- Improvement activities
- 0
- Cost
- 73.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-8265 | AR | MD | Diagnostic Radiology Physician |
| C8265 | AR | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Radiology PLLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Rogers, AR
- NPI 1962674911
AR, Diagnostic Radiology
Hospital & facility affiliations 12
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": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333065600000",
"number": "1245295443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1559",
"address_2": "DEPT 241",
"city": "TULSA",
"state": "OK",
"postal_code": "741011559",
"telephone_number": "877-243-8418",
"fax_number": "918-663-2281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 RIFE MEDICAL LANE",
"city": "ROGERS",
"state": "AR",
"postal_code": "727581452",
"telephone_number": "479-338-8000",
"fax_number": "501-664-0302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDGECOCK",
"first_name": "JOHN",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2012-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AR",
"license": "C8265",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AR",
"license": "C-8265",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134366001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.