Individual provider Active NPI

Rudhir Tandon, MD

  • Interventional Cardiology Physician
  • Fort Smith, AR
National Provider Identifier
1245486547
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
E13848 Issued in AR
Practice address
1500 Dodson Ave # 60
Fort Smith, AR 72901-5182
Phone
(479) 709-7325
NPI assigned
Aug 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125054783 IL
Internal Medicine Physician 207R00000X 39540 IA
Interventional Cardiology Physician 207RI0011X MD-39540 IA
Interventional Cardiology Physician 207RI0011X E13848 AR Primary

Addresses

Primary practice location

1500 Dodson Ave # 60
Fort Smith, AR 72901-5182

Mailing address

5408 S Altamonte Rd
Rogers, AR 72758-9068
Phone (217) 416-5679

Other identifiers 1

IdentifierTypeStateIssuer
217308002MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, FL2 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
I20210305000148 AR Practitioner - Interventional Cardiology 6204014616 Reassigns benefits to 2 organizations
I20250514003382 FL Practitioner - Cardiovascular Disease (Cardiology) 6204014616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1222 S Orange Ave
Orlando, FL 32806-1215
Phone (407) 650-1300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting34
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125054783ILMDInternal Medicine Physician
E13848ARMDInterventional Cardiology Physician
MD-39540IAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc Internal Medicine CurrentSince May 1, 2025 Accepting new patients
Baptist Health Services Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Baptist Health Services Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince May 1, 2025 Accepting new patients
Northwest Benton County Physician Services LLC CurrentSince Mar 1, 2021 Accepting new patients
Fort Smith Hma PBC Management, LLC Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Baptist Health Regional Hospitals Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

2900 Medical Center Pkwy
Ste 240B
Bentonville, AR 72712
Phone (479) 273-9173

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

1500 Dodson Ave
Ste 50
Fort Smith, AR 72901

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260

1500 Dodson Ave
#60
Fort Smith, AR 72901
Phone (479) 709-7325

1500 Dodson Ave
Ste 60
Fort Smith, AR 72901
Phone (479) 709-7325

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1222 S Orange Ave
Orlando, FL 32806
Phone (407) 649-6907

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: rtandon168193@uihcdirect.org

Organizations & group practices 8

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 5

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": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1245486547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 S ALTAMONTE RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727589068",
            "telephone_number": "217-416-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DODSON AVE # 60",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729015182",
            "telephone_number": "479-709-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDON",
        "first_name": "RUDHIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-18",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125054783",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "39540",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IA",
            "license": "MD-39540",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AR",
            "license": "E13848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217308002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.