NPIMap

Individual provider Active NPI

Robert Joseph Stuppy, MD

  • Cardiovascular Disease Physician
  • Rogers, AR
National Provider Identifier
1316995137
Registry record updated Sep 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
E4566 Issued in AR
Practice address
2708 Rife Medical LN
Suite 220
Rogers, AR 72758-1452
Phone
(479) 338-4400
Fax
(479) 338-4445
NPI assigned
May 4, 2006
Last updated
Sep 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X E4566 AR Primary

Addresses

Primary practice location

2708 Rife Medical LN
Suite 220
Rogers, AR 72758-1452

Mailing address

2708 Rife Medical LN
Suite 220
Rogers, AR 72758-1452
Phone (479) 338-4400

Other identifiers 1

IdentifierTypeStateIssuer
130779001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060125000835 AR Practitioner - Cardiovascular Disease (Cardiology) 6800797499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University Medical College of Kansas City, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Mercy Way
Bella Vista, AR 72714-3000
Phone (479) 802-5555

207 Carter St
Berryville, AR 72616-4303
Phone (870) 423-6661

211 Carter St
Berryville, AR 72616-4303
Phone (870) 423-3338

2708 S Rife Medical LN
Suite 220
Rogers, AR 72758-1456

2708 S Rife Medical LN
Suite T30
Rogers, AR 72758-1458
Phone (479) 338-3999

2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 636-0200

3101 SE 14TH St
Bentonville, AR 72712-4900
Phone (479) 631-2100

4600 Mercy LN
Springdale, AR 72762-3070

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17104OKMDPharmacist
E4566ARMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 1, 2006 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 1, 2006 Accepting new patients
Sjmgroup Past Accepting new patients
Mercy Health Northwest Arkansas Communities PastSince Jan 1, 1990 Accepting new patients
Mercy Health Northwest Arkansas Communities PastSince Jan 1, 1990 Accepting new patients

Locations

1 Mercy Way
Ste 40
Bella Vista, AR 72714
Phone (479) 338-4400

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

1300 W Walnut St
Ste F
Rogers, AR 72756
Phone (479) 631-4400

2708 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-4400

2708 S Rife Medical Ln
Ste 220
Rogers, AR 72758
Phone (479) 338-4400

Interoperability endpoints

  • Direct secure messaging: rstuppy17244@directc.mercy.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316822400000",
    "number": "1316995137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 RIFE MEDICAL LN",
            "address_2": "SUITE 220",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581452",
            "telephone_number": "479-338-4400",
            "fax_number": "479-338-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 RIFE MEDICAL LN",
            "address_2": "SUITE 220",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581452",
            "telephone_number": "479-338-4400",
            "fax_number": "479-338-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUPPY",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "E4566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130779001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.