Individual provider Active NPI

Byron T Garibaldi, MD

  • Family Medicine Physician
  • Springdale, AR
National Provider Identifier
1376550640
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-0819 Issued in AR
Practice address
609 W Maple Ave
NW Medical Center Springdale
Springdale, AR 72764-5335
Phone
(479) 757-1000
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-0819 AR
Emergency Medicine Physician 207P00000X 2019037050 MO
Family Medicine Physician 207Q00000X E-0819 AR Primary

Addresses

Primary practice location

609 W Maple Ave
NW Medical Center Springdale
Springdale, AR 72764-5335

Mailing address

609 W Maple Ave
NW Medical Center Springdale
Springdale, AR 72764-5335
Phone (479) 757-1000

Other practice location 1

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone (417) 256-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040707001494 AR Practitioner - Family PracticePractitioner - Emergency Medicine 8325026354 Reassigns benefits to 7 organizations
I20200605002175 MO Practitioner - Emergency MedicinePractitioner - Family Practice 8325026354 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Texas Medical Branch at Galveston, 1993
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)

3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (479) 553-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-0819ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Arkansas HBP Services LLC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Mercy Hospital Cassville CurrentSince Mar 8, 2021 Accepting new patients
Mercy St. Francis Hospital CurrentSince Jun 18, 2020 Accepting new patients
Washington Regional Medical System CurrentSince Mar 1, 2013 Accepting new patients
Mercy Hospital Aurora CurrentSince Mar 8, 2021 Accepting new patients
Mercy St. Francis Hospital CurrentSince Jun 18, 2020 Accepting new patients
South Arkansas Emergency Physicians, LLP Emergency Medicine CurrentSince Jan 4, 2014 Accepting new patients
Mercy Hospital Aurora CurrentSince Mar 8, 2021 Accepting new patients
Ies Arkansas PLLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Washington Regional Medical System Family Medicine CurrentSince Mar 1, 2013 Accepting new patients
Byron T. Garibaldi, M.D., P.a. CurrentSince Apr 21, 2025 Accepting new patients
Mercy Hospital Berryville CurrentSince Oct 18, 2018 Accepting new patients
Springdale- Bentonville HBP Services, LLC Emergency Medicine CurrentSince May 3, 2024 Accepting new patients
Mercy Hospital Cassville CurrentSince Mar 8, 2021 Accepting new patients
South Arkansas Emergency Physicians LLP Emergency Medicine Current Accepting new patients
South Arkansas Emergency Physicians, LLP Emergency Medicine CurrentSince Jan 4, 2014 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Dec 1, 2014 Accepting new patients
Arkansas Gatewood Emergency Room Services, PA Emergency Medicine Past Accepting new patients
QHG of Springdale Inc Past Accepting new patients
Washington Regional Medical System Past Accepting new patients

Locations

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

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

214 Carter St
Berryville, AR 72616
Phone (870) 423-3355

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

1125 N College Ave
Fayetteville, AR 72703
Phone (479) 521-8260

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

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

1910 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 321-1000

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

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

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

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

100 W US Highway 60
Mountain View, MO 65548
Phone (417) 934-7000

228 E Route 59
Nanuet, NY 10954
Phone (718) 280-5436

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 2

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1376550640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W MAPLE AVE",
            "address_2": "NW MEDICAL CENTER SPRINGDALE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645335",
            "telephone_number": "479-757-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W MAPLE AVE",
            "address_2": "NW MEDICAL CENTER SPRINGDALE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645335",
            "telephone_number": "479-757-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 N Kentucky Ave",
            "address_purpose": "LOCATION",
            "city": "West Plains",
            "state": "MO",
            "postal_code": "657752029",
            "country_code": "US",
            "telephone_number": "417-256-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARIBALDI",
        "first_name": "BYRON",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-0819",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2019037050",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-0819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.