Active NPI
Rudhir Tandon, MD
- Interventional Cardiology Physician
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- E13848
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 217308002 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, FL
- 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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1222 S Orange Ave
Orlando, FL 32806-1215
Phone (407) 650-1300
Hospital & facility affiliations
- Orlando Health
- Orlando Health South Lake Hospital
- Orlando Health-Health Central Hospital
- Orlando Health St Cloud Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 34 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125054783 | IL | MD | Internal Medicine Physician |
| E13848 | AR | MD | Interventional Cardiology Physician |
| MD-39540 | IA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Baptist Health Services | Internal Medicine | Current | Accepting new patients |
| Baptist Health Services | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Northwest Benton County Physician Services LLC | Current | Accepting new patients | |
| Fort Smith Hma PBC Management, LLC | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Foot & Ankle Surgery Podiatrist
- Fort Smith, AR
- NPI 1922587690
-
- Family Medicine Physician
- Bentonville, AR
- NPI 1871553073
-
- Family Medicine Physician
- Fort Smith, AR
- NPI 1477888907
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1710463146
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- General Acute Care Hospital
- Saint Cloud, FL
- NPI 1164478442
-
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.