NPIMap

Individual provider Active NPI

Paul Vellozo, MD

  • Internal Medicine Physician
  • Walnut Ridge, AR
National Provider Identifier
1386744274
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E0629 Issued in AR
Practice address
1309 W Main St
Walnut Ridge, AR 72476-1430
Phone
(870) 886-3211
Fax
(870) 886-3616
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 16

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 16

Hospital & facility affiliations 8

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

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Memorial Health Foundation Inc 14 clinicians
Lawrence Memorial Hospital 12 clinicians
St Bernards Hospital Inc. 187 clinicians

Practice addresses (Care Compare)

1309 W Main St
Walnut Ridge, AR 72476-1430

225 E Washington Ave
Jonesboro, AR 72401-3111
Phone (870) 972-4100

303 E Matthews Ave
202 St Bernards Senior Health Clinic
Jonesboro, AR 72401-3120
Phone (870) 207-7555

Hospital & facility affiliations

  • Five Rivers Medical Center Home Health Home health agency, Pocahontas, AR, CCN 047148
  • Adoration Home Health Home health agency, Batesville, AR, CCN 047080
  • Trinity North Home Health LLC Home health agency, Jonesboro, AR, CCN 047044
  • Lawrence Memorial Hospital Hospital, Walnut Ridge, AR, CCN 041309
  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
  • St Bernards Five Rivers Medical Center Hospital, Pocahontas, AR, CCN 040779
  • Lawrence Hall Health & Rehabilitation Nursing home, Walnut Ridge, AR, CCN 045452
  • Lawrence Memorial Hospital Nursing home, CCN 04Z309

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20071210000139 AR Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Sleep Medicine 8628167962 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E0629ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Hospital Inc CurrentSince Aug 13, 2023 Accepting new patients
St. Bernards Hospital, Inc Current Accepting new patients
Lawrence Memorial Health Foundation Inc. CurrentSince Jan 1, 2026 Accepting new patients
St Bernards Hospital Inc CurrentSince Oct 21, 2011 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

2712 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 268-4107

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

1309 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-1200

Interoperability endpoints

  • Direct secure messaging: paul.vellozo@lmhfmc.eclinicaldirectplus.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E0629 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

1309 W Main St
Walnut Ridge, AR 72476-1430

Mailing address

PO Box 839
Walnut Ridge, AR 72476-0839
Phone (870) 886-3211

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
128860001MedicaidAR

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 27, 2026.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1386744274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 839",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724760839",
            "telephone_number": "870-886-3211",
            "fax_number": "870-886-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 W MAIN ST",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724761430",
            "telephone_number": "870-886-3211",
            "fax_number": "870-886-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLOZO",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E0629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128860001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Ridge, AR

Sources for this page

Verify at the official NPI Registry.