NPIMap

Individual provider Active NPI

Kevin Wade Falwell Jr., MD

  • Family Medicine Physician
  • Batesville, AR
National Provider Identifier
1356373286
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-4642 Issued in AR
Practice address
2201 Harrison St
Batesville, AR 72501-7418
Phone
(870) 307-0264
Fax
(870) 307-0382
NPI assigned
Jul 7, 2006
Last updated
Oct 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-4642 AR Primary

Addresses

Primary practice location

2201 Harrison St
Batesville, AR 72501-7418

Mailing address

2201 Harrison St
Batesville, AR 72501-7418
Phone (870) 307-0264

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
I20060822000589 AR Practitioner - Family Practice 4587667019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2201 Harrison St
Batesville, AR 72501-7418
Phone (870) 307-0264

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Falwell Family Medicine, PA Family Medicine CurrentSince Jul 24, 2008 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

2201 Harrison St
Batesville, AR 72501
Phone (870) 307-0264

Interoperability endpoints

  • Direct secure messaging: kfalwell@falfam.curemd.direct-ci.com

Organizations & group practices 2

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1356373286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017418",
            "telephone_number": "870-307-0264",
            "fax_number": "870-307-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017418",
            "telephone_number": "870-307-0264",
            "fax_number": "870-307-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALWELL",
        "first_name": "KEVIN",
        "middle_name": "WADE",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-4642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.