Individual provider Active NPI

Heather Ann Martinelli, MD

  • Obstetrics & Gynecology Physician
  • Springdale, AR
National Provider Identifier
1427016310
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E2506 Issued in AR
Practice address
4301 Greathouse Springs Rd
Ste 100
Springdale, AR 72762
Phone
(479) 757-1730
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X E2506 AR Primary

Addresses

Primary practice location

4301 Greathouse Springs Rd
Ste 100
Springdale, AR 72762

Mailing address

2708 Rife Medical LN
Suite T40
Rogers, AR 72758-1452
Phone (479) 338-4000

Other practice location 1

2708 Rife Medical Ln
Suite T40
Rogers, AR 72758-1452
Phone (479) 338-4000

Other identifiers 1

IdentifierTypeStateIssuer
140194001MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heather.martinelli.1@2229.direct.athenahealth.com

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
I20080516000267 AR Practitioner - Obstetrics/Gynecology 9234208224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.5 of 100Reported as apm
Quality
69.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E2506ARMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physicians LLC CurrentSince May 15, 2020 Accepting new patients
Northwest Physicians LLC CurrentSince May 15, 2020 Accepting new patients

Locations

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

Interoperability endpoints

  • Direct secure messaging: hmartinelli206@directa.mercy.net

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1427016310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 RIFE MEDICAL LN",
            "address_2": "SUITE T40",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581452",
            "telephone_number": "479-338-4000",
            "fax_number": "479-338-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 GREATHOUSE SPRINGS RD",
            "address_2": "STE 100",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "72762",
            "telephone_number": "479-757-1730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2708 Rife Medical Ln",
            "address_2": "Suite T40",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727581452",
            "country_code": "US",
            "telephone_number": "479-338-4000",
            "fax_number": "479-338-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINELLI",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E2506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140194001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.martinelli.1@2229.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "4301 Greathouse Springs Rd",
            "address_2": "Ste 100",
            "city": "Springdale",
            "state": "AR",
            "country_code": "US",
            "postal_code": "72762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.