Individual provider Active NPI

Daniel Thornton Judkins, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Conway, AR
National Provider Identifier
1447518840
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
E-9832 Issued in AR
Practice address
650 United Dr Ste 340
Conway, AR 72032-7826
Phone
(501) 358-6791
NPI assigned
Apr 24, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X E-9832 AR
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Anesthesiology) Physician 207LP2900X E-9832 AR Primary

Addresses

Primary practice location

650 United Dr Ste 340
Conway, AR 72032-7826

Mailing address

650 United Dr Ste 340
Conway, AR 72032-7826
Phone (501) 358-6791

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
I20170829002238 AR Practitioner - Pain ManagementPractitioner - Anesthesiology 4183941354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prestige Spine Interventional Pain Management LLCGroup PAC ID 9931514320, 3 clinicians
Arkansas Neurosurgery Brain and Spine Clinic P.a.Group PAC ID 0345281663, 8 clinicians

Practice addresses (Care Compare)

650 United Dr
Suite 340
Conway, AR 72032-7803
Phone (501) 358-6791

650 United Dr
Suite 340
Conway, AR 72032-7826

8201 Cantrell Rd
Suite 265
Little Rock, AR 72227-2347
Phone (501) 661-0077

Hospital & facility affiliations

  • Baptist Health Medical Center- Conway Hospital, Conway, AR, CCN 040154

Merit-based Incentive Payment System (MIPS)

Final score
88.43 of 100Reported as individual
Quality
86.38
Improvement activities
40
Cost
79.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-9832ARMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Spine Interventional Pain Management, LLC Pain Medicine CurrentSince Jan 1, 2021 Accepting new patients
Arkansas Neurosurgery Brain & Spine Clinic P.a. CurrentSince Feb 1, 2023 Accepting new patients

Locations

650 United Dr
Ste 340
Conway, AR 72032
Phone (501) 328-6791

8201 Cantrell Rd
Ste 265
Little Rock, AR 72227
Phone (501) 661-0077

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFICCD
  • Direct secure messaging: djudkins37601@direct.baptist-healthar.org

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.

Hospital & facility affiliations 1

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": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1447518840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 UNITED DR STE 340",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327826",
            "telephone_number": "501-358-6791",
            "fax_number": "501-358-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 UNITED DR STE 340",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327826",
            "telephone_number": "501-358-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDKINS",
        "first_name": "DANIEL",
        "middle_name": "THORNTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AR",
            "license": "E-9832",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AR",
            "license": "E-9832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.