Active NPI
Joseph J Ivy, M.D.
- Gynecologic Oncology Physician
- Bentonville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- E-6436
- Practice address
- 3101 SE 14TH St
Bentonville, AR 72712-4900 - Phone
- (479) 338-6377
- Fax
- (479) 338-6378
- NPI assigned
- Jul 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 025078 | LA | |
| Gynecologic Oncology Physician | 207VX0201X | E-6436 | AR | Primary |
Addresses
Primary practice location
3101 SE 14TH St
Bentonville, AR 72712-4900
Mailing address
PO Box 776084
Chicago, IL 60677-6084
Phone (479) 338-6377
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1423149 | Medicaid | LA | |
| 1689986606 | Medicaid | MO | |
| 185252001 | Medicaid | AR | |
| 200471960A | Medicaid | OK |
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
- Gynecological Oncology
- Education
- University of Arkansas College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Northwest Arkansas Communities
Practice addresses (Care Compare)
2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 338-8000
3101 SE 14TH St
Bentonville, AR 72712-4900
Phone (479) 631-2100
Hospital & facility affiliations
- Mercy Hospital Northwest Arkansas
- Northwest Medical Center-Springdale
- Mercy Hospital Fort Smith
- Mercy Hospital Joplin
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.14 of 100
- Quality
- 86.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.48
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 68 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025078 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Hospital Berryville | Current | Accepting new patients |
Locations
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
214 Carter St
Berryville, AR 72616
Phone (870) 423-3355
808 S 52nd St
Rogers, AR 72758
Phone (479) 878-1818
2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000
Interoperability endpoints
- jivy23139@washingtonregional.direct-ci.com
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
- Hospitalist Physician
- Rogers, AR
- NPI 1699076737
-
- Critical Access Hospital
- Berryville, AR
- NPI 1457306326
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1568433480
-
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
-
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1417977471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776084",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776084",
"telephone_number": "479-338-6377",
"fax_number": "479-338-6378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 SE 14TH ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727124900",
"telephone_number": "479-338-6377",
"fax_number": "479-338-6378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVY",
"first_name": "JOSEPH",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "LA",
"license": "025078",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "AR",
"license": "E-6436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1423149",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689986606",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185252001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200471960A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.