Oscar Gonzalo Talledo Zevallos

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD-47408 Issued in IA

Practice address

1901 Encore Way
Bryant, AR 72019-8896

Phone

(501) 213-4500

NPI assigned

Apr 2, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Healthcare Services LLCGroup PAC ID 9335134402, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• National Park Medical Center Hospital, Hot Springs, AR, CCN 040078

Merit-based Incentive Payment System (MIPS)

Final score

51.71 of 100Reported as group

Quality

52.36

Promoting interoperability

0

Improvement activities

40

Cost

70.01

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2554/brand/4/csg/1/fhir/r4
• Direct secure messaging: oscar.talledo.1@2554.direct.athenahealth.com

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.

• Arkansas Healthcare Services LLC

  • Urology Physician
  • Hot Springs, AR
  • NPI 1174582621

  Surgery

  Medicare reassignment Care Compare group NPD
• Arkansas Heart Hospital Rural Health Services, LLC

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1548553811
  Medicare reassignment NPD
• Arkansas Heart Hospital, LLC

  dba Arkansas Heart Hospital Clinic

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1558653212
  Medicare reassignment NPD
• Arkansas Heart Hospital, LLC

  dba Arkansas Heart Hospital Encore

  • General Acute Care Hospital
  • Bryant, AR
  • NPI 1841898293
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hot Springs National Park Hospital Holdings LLC

  dba National Park Medical Center

  • General Acute Care Hospital
  • Hot Springs, AR
  • NPI 1841241833
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1265850671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR DEPT OF",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 ENCORE WAY",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720198896",
            "telephone_number": "501-213-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEDO ZEVALLOS",
        "first_name": "OSCAR",
        "middle_name": "GONZALO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "31526",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "MD-47408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viola Marie Surratt, PHARM D
• Courtney E Sutterfield, RD/RDN
• Kristi G. Sutton, MD
• Sheri' Sutton, LPC
• Jennipher Swilley
• Taylor Health and Wellness of Arkansas, PA
• Caryn Taylor
• Floye L Taylor, ARNP
• Ted W Jolley DDS PLLC
• The Manor at Benton, LLC (The Manor at Benton)

• Surgery Physician in Bryant, AR
• Providers in Bryant, AR by specialty
• Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.

Verify at the official NPI Registry.