Individual provider Active NPI

Peter Ball, MD

  • Emergency Medicine Physician
  • Springdale, AR
National Provider Identifier
1356439681
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E-1800 Issued in AR
Practice address
609 W Maple Ave
Springdale, AR 72764-5335
Phone
(800) 893-9698
NPI assigned
Oct 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-1800 AR Primary

Addresses

Primary practice location

609 W Maple Ave
Springdale, AR 72764-5335

Mailing address

200 Corporate Blvd
Ste 201
Lafayette, LA 70508-3870

Other identifiers 1

IdentifierTypeStateIssuer
135548001MedicaidAR

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
I20050310000555 AR Practitioner - Family Practice 1254385362 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springdale Bentonville HBP Services LLCGroup PAC ID 1052759263, 88 clinicians

Practice addresses (Care Compare)

603 N Progress Ave
Siloam Springs, AR 72761-4352
Phone (479) 215-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.39 of 100Reported as group
Quality
99.78
Improvement activities
0
Cost
78.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Arkansas HBP Services LLC Emergency Medicine CurrentSince May 6, 2023 Accepting new patients
South Arkansas Emergency Physicians, LLP Emergency Medicine CurrentSince Jan 1, 2014 Accepting new patients
Ies Arkansas PLLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Springdale- Bentonville HBP Services, LLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
South Arkansas Emergency Physicians LLP Emergency Medicine CurrentSince Jan 1, 2014 Accepting new patients
University of Arkansas for Medical Sciences Past Accepting new patients
QHG of Springdale Inc Past Accepting new patients
University of Arkansas for Medical Sciences Past Accepting new patients

Locations

1580 E Centerton Blvd
Bentonville, AR 72712
Phone (479) 553-2150

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

1255 S Shiloh Dr
Fayetteville, AR 72701
Phone (479) 757-1760

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

200 Corporate Blvd
Ste 201
Lafayette, LA 70508

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356439681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "address_2": "STE 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W MAPLE AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645335",
            "telephone_number": "800-893-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-1800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135548001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.