NPIMap

Individual provider Active NPI

Richard Alan Nelson, MD

  • Diagnostic Radiology Physician
  • Fort Smith, AR
National Provider Identifier
1356317689
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E2445 Issued in AR
Practice address
5707 Jenny Lind Rd
Fort Smith, AR 72908-7435
Phone
(479) 452-9416
Fax
(479) 484-0827
NPI assigned
Feb 27, 2006
Last updated
May 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X E2445 AR Primary

Addresses

Primary practice location

5707 Jenny Lind Rd
Fort Smith, AR 72908-7435

Mailing address

PO Box 3887
Fort Smith, AR 72913-3887
Phone (479) 452-9416

Other identifiers 2

IdentifierTypeStateIssuer
100186770AMedicaidOK
139659001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX, OK3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050311000585 AR Practitioner - Diagnostic Radiology 6002860053 Reassigns benefits to 5 organizations
I20250930004252 TX Practitioner - Diagnostic Radiology 6002860053 Reassigns benefits to 1 organization
I20260612000083 OK Practitioner - Diagnostic Radiology 6002860053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of North Dakota School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Angelina Diagnostic Radiology AssociatesGroup PAC ID 1850380890, 71 clinicians
Radiologists PAGroup PAC ID 9830140607, 20 clinicians
North Arkansas RadiologyGroup PAC ID 0648372763, 27 clinicians
Clear View Radiology PLLCGroup PAC ID 1850837964, 25 clinicians
Radiologists of Russellville PAGroup PAC ID 4385741685, 27 clinicians

Practice addresses (Care Compare)

1201 W Frank Ave
Memorial Specialty Hospital
Lufkin, TX 75904-3357
Phone (936) 639-7975

1501 S Waldron Rd
Suite 109
Fort Smith, AR 72903-2568
Phone (479) 474-1616

1710 Harrison St
Batesville, AR 72501-7303
Phone (870) 262-1200

2900 Hawkins Dr
Searcy, AR 72143-4802
Phone (479) 452-9416

3301 W Main PL
Russellville, AR 72801-2334
Phone (479) 968-7930

710 S 13TH St
Blackwell, OK 74631-3700
Phone (479) 452-9416

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 452-9416

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.96 of 100Reported as group
Quality
99.75
Improvement activities
40
Cost
70.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Radiology Services P a Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Clear View Radiology, PLLC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
North Arkansas Radiology Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Radiologists of Russellville PA Diagnostic Radiology CurrentSince Sep 14, 2023 Accepting new patients
Radiologists PA Diagnostic Radiology CurrentSince Apr 20, 2000 Accepting new patients
Prime Medical Imaging, a Division of Radiologists, P.a. Diagnostic Radiology Current Accepting new patients
Booneville Community Hospital, Inc. Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Andre J. Nolewajka, MD, PA Past Accepting new patients
Area Radiological Consultants PA Diagnostic Radiology Past Accepting new patients
South Central Oklahoma Radiology PLLC Diagnostic Radiology PastSince Aug 1, 2021 Accepting new patients
Laboratory Medicine Associates Past Accepting new patients
Booneville Community Hospital, Inc Past Accepting new patients

Locations (25 of 26)

1490 Byers St
Batesville, AR 72501
Phone (870) 793-2207

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

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

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

1501 S Waldron Rd
Ste 109
Fort Smith, AR 72903
Phone (479) 242-3310

2322 S 57th St
Fort Smith, AR 72903
Phone (479) 314-6303

5707 Jenny Lind Rd
Fort Smith, AR 72908
Phone (479) 242-2561

6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

1400 Braden St
Little Rock AFB, AR 72076
Phone (501) 380-3172

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

2106 E Main St
Mountain View, AR 72560
Phone (870) 262-5056

1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178

3301 W Main Pl
Russellville, AR 72801
Phone (855) 498-6768

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

320 S 9th St
Van Buren, AR 72956
Phone (479) 474-1616

710 S 13th St
Blackwell, OK 74631
Phone (580) 363-2311

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

501 N 14th St
Perry, OK 73077
Phone (580) 336-3541

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

1717 Highway 59 Loop N
Livingston, TX 77352
Phone (936) 329-8500

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

2306 W Frank Ave
Ste C
Lufkin, TX 75904
Phone (936) 632-6700

511 E Hospital St
San Augustine, TX 75972
Phone (936) 275-3446

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1356317689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3887",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729133887",
            "telephone_number": "479-452-9416",
            "fax_number": "479-484-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 JENNY LIND RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729087435",
            "telephone_number": "479-452-9416",
            "fax_number": "479-484-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E2445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100186770A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139659001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.