John David Alston, M.D.
Individual provider Active NPI Surgery Physician · Springdale, AR
NPI 1487664892 · NPPES record last updated Sep 6, 2016
Key facts
- NPI
- 1487664892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- C5752 (AR)
- Practice address
- 724 Deaver St
Springdale, AR 72764-5356 - Phone
- (479) 751-3202
- Fax
- (479) 756-2721
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.5 of 100
- Quality
- 69.34
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110517000534 | AR | Practitioner - General Surgery | 1052594116 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5752 | AR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Benton County Physician Services LLC | Current |
Accepting new patients | |
| Northwest Physicians LLC | Current |
Accepting new patients | |
| Siloam Springs Clinic Company LLC | Current |
Accepting new patients | |
| Northwest Physicians LLC | Current |
Accepting new patients |
Locations
3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524
101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426
603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000
205 E Jefferson St
Siloam Springs, AR 72761
Phone (479) 524-4141
601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C5752 | AR | Yes |
Addresses
Primary practice location
724 Deaver St
Springdale, AR 72764-5356
Mailing address
3000 Medical Center Pkwy
Bentonville, AR 72712-3217
Phone (479) 751-3202
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105091001 | Medicaid | AR | |
| 100067000A | Medicaid | OK |
Other providers in Springdale, AR
- Luke Allen
- William Allen
- Zachary Allen
- Alliance Speech Therapy LLC
- Esmeralda Almaras-Mora
- Lindsey Amaya
- Corbin Turpin Amman
- Janine M Amos
- Anchor & Kite LLC
- Anchor Wellness Services
All providers in Springdale, AR · Surgery Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.