Individual provider Active NPI

Derek Middleton

  • Hematology & Oncology Physician
  • Little Rock, AR
National Provider Identifier
1346602679
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
E11451 Issued in AR
Practice address
8901 Carti Way
Little Rock, AR 72205-6523
Phone
(501) 906-3000
NPI assigned
Mar 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X E11451 AR Primary

Addresses

Primary practice location

8901 Carti Way
Little Rock, AR 72205-6523

Mailing address

8901 Carti Way
Little Rock, AR 72205-6523
Phone (501) 906-3000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220511000970 AR Practitioner - Hematology/Oncology 0143512160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Arkansas College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8901 Carti Way
Little Rock, AR 72205-6523
Phone (501) 906-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.18 of 100Reported as group
Quality
90.37
Promoting interoperability
100
Improvement activities
40
Cost
73.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E11451ARMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Jul 1, 2022 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc Multi-Specialty CurrentSince Jul 1, 2022 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc Past Accepting new patients

Locations

1100 E Poplar St
Clarksville, AR 72830
Phone (479) 754-5393

2500 Highway 65 S
Clinton, AR 72031
Phone (501) 745-7000

2605 College Ave
Conway, AR 72034
Phone (501) 327-2995

313 N Alabama St
Ste 1
Crossett, AR 71635

1601 N West Ave
El Dorado, AR 71730

8901 Carti Way
Little Rock, AR 72205
Phone 50190630003044

9601 Baptist Health Dr
Ste 106
Little Rock, AR 72205

3400 Springhill Dr
North Little Rock, AR 72117
Phone (501) 603-8894

5001 Bobo Rd
Pine Bluff, AR 71603

209 S Portland Ave
Russellville, AR 72801
Phone (479) 317-7010

1505 N Medical Dr
Stuttgart, AR 72160
Phone (870) 674-6702

Organizations & group practices 3

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 3

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": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1346602679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 CARTI WAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056523",
            "telephone_number": "501-906-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 CARTI WAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056523",
            "telephone_number": "501-906-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "DEREK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-25",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AR",
            "license": "E11451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.