Active NPI
Robert D Taylor, M.D.
- Internal Medicine Physician
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C-5101
- Practice address
- 4802E Johnson Ave
Jonesboro, AR 72401-8413 - Phone
- (870) 936-8000
- Fax
- (870) 934-3630
- NPI assigned
- Mar 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C-5101 | AR | Primary |
Addresses
Primary practice location
4802E Johnson Ave
Jonesboro, AR 72401-8413
Mailing address
PO Box 1960
Jonesboro, AR 72403-1960
Phone (870) 934-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101767001 | Medicaid | AR | |
| 201557105 | Medicaid | MO |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Arkansas College of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Windover Rd
Jonesboro, AR 72401-6159
Phone (870) 935-5432
2205 W Parker Rd
Jonesboro, AR 72404-7778
Phone (870) 933-9250
4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-8000
4802 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-8000
4808 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-8000
Hospital & facility affiliations
- Baptist Memorial Hospital Jonesboro, Inc.
- St Bernards Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.65 of 100
- Quality
- 44.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| St Bernards Hospital Inc | Current | Accepting new patients | |
| St Bernards Hospital Inc. | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Northeast Arkansas Health System LLC | Past | Accepting new patients | |
| Northeast Arkansas Clinic, PA | Past | Accepting new patients |
Locations
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820
225 E Jackson Ave
Jonesboro, AR 72401
Phone (870) 207-1630
225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630
1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432
909 Enterprise Dr
Jonesboro, AR 72401
Phone (870) 336-1100
3024 Stadium Blvd
Jonesboro, AR 72404
Phone (870) 972-7000
311 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-4150
Interoperability endpoints
- rtaylor29394@direct.bmhcc.org
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Nea Baptist Memorial Hospital | Hospital | Corporate Director | Aug 1, 2011 |
| Nea Baptist Memorial Hospital | Hospital | Corporate Director | Nov 9, 2020 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1386699353
Corporate Director
-
- Rehabilitation Hospital Unit
- Jonesboro, AR
- NPI 1700269339
Corporate Director
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.
-
- Multi-Specialty Clinic/Center
- Jonesboro, AR
- NPI 1861721839
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1336150374
-
- Mobile Mammography Clinic/Center
- Jonesboro, AR
- NPI 1417721689
-
- Clinical Medical Laboratory
- Jonesboro, AR
- NPI 1801127030
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1396053096
-
- Multi-Specialty Clinic/Center
- Jonesboro, AR
- NPI 1376517177
-
- Cardiovascular Specialist/Technologist
- Jonesboro, AR
- NPI 1750322087
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1386699353
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1922043686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446508800000",
"number": "1316915424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1960",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724031960",
"telephone_number": "870-934-8000",
"fax_number": "870-934-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802E JOHNSON AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724018413",
"telephone_number": "870-936-8000",
"fax_number": "870-934-3630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ROBERT",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2015-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "C-5101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101767001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201557105",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.