Active NPI
Kremer B Nicholas, M.D.
- Diagnostic Radiology Physician
- Hot Springs, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- E-6371
- Practice address
- 3633 Central Avenue
Suite D
Hot Springs, AR 71913-6475 - Phone
- (501) 623-6693
- Fax
- (501) 623-9403
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | E-6371 | AR | Primary |
Addresses
Primary practice location
3633 Central Avenue
Suite D
Hot Springs, AR 71913-6475
Mailing address
3633 Central Avenue
Suite D
Hot Springs, AR 71913-6475
Phone (501) 623-6693
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183666001 | Medicaid | AR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Arkansas College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3 E Appleby Rd
Suite 103
Fayetteville, AR 72703-3156
Phone (479) 404-1300
3215 N Hills Blvd
Fayetteville, AR 72703-4424
Phone (479) 463-7102
Hospital & facility affiliations
- Washington Regional Medical Center
- North Arkansas Regional Medical Center
- Mercy Hospital Northwest Arkansas
- Baxter Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-6371 | AR | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hot Springs Radiology Services, LTD | Current | Accepting new patients | |
| Washington Regional Medical System | Current | Accepting new patients | |
| Washington Regional Medical System | Diagnostic Radiology | Current | Accepting new patients |
Locations
3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000
3633 Central Ave
Ste D
Hot Springs National Park, AR 71913
Phone (501) 623-6693
Interoperability endpoints
- knicholas36477@washingtonregional.direct-ci.com
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Diagnostic Radiology Physician
- Fayetteville, AR
- NPI 1477718179
-
- Specialist
- Hot Springs, AR
- NPI 1003806258
-
- Family Medicine Physician
- Farmington, AR
- NPI 1275839011
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1033147921
-
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1881788933
-
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
-
- General Acute Care Hospital
- Harrison, AR
- NPI 1275523912
-
- General Acute Care Hospital
- Fayetteville, AR
- NPI 1083609150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1356557771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3633 CENTRAL AVENUE",
"address_2": "SUITE D",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136475",
"telephone_number": "501-623-6693",
"fax_number": "501-623-9403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3633 CENTRAL AVENUE",
"address_2": "SUITE D",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136475",
"telephone_number": "501-623-6693",
"fax_number": "501-623-9403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLAS",
"first_name": "KREMER",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AR",
"license": "E-6371",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183666001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.