Individual provider Active NPI

Ramon Carlos Ylanan, MD

  • Sports Medicine (Family Medicine) Physician
  • Fayetteville, AR
National Provider Identifier
1497841530
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
E-7389 Issued in AR
Practice address
3900 N Parkview Dr
Fayetteville, AR 72703-6398
Phone
(479) 966-4187
Fax
(479) 966-4197
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2004017667 MO
Family Medicine Physician 207Q00000X 31290 SC
Sports Medicine (Family Medicine) Physician 207QS0010X 31290 SC
Sports Medicine (Family Medicine) Physician 207QS0010X E-7389 AR Primary

Addresses

Primary practice location

3900 N Parkview Dr
Fayetteville, AR 72703-6398

Mailing address

3900 N Parkview Dr
Fayetteville, AR 72703-6398
Phone (479) 966-4187

Other identifiers 2

IdentifierTypeStateIssuer
312904MedicaidSC
0534520001OtherSCMEDICARE DME

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
I20120221000939 AR Practitioner - Orthopedic SurgeryPractitioner - Family PracticePractitioner - Sports Medicine 7214029206 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Arkansas for Medical SciencesGroup PAC ID 4082528955, shared by 29 NPIs, 1,159 clinicians

Practice addresses (Care Compare)

201 W Van Asche Loop
Uams Health Orthopaedics and Sports
Fayetteville, AR 72703-4996
Phone (479) 966-4491

4301 W Markam St
Little Rock, AR 72205-7101

609 SW 8TH St
Suite 900
Bentonville, AR 72712-7579
Phone (479) 334-7030

Hospital & facility affiliations

  • Washington Regional Medical Center Hospital, Fayetteville, AR, CCN 040004
  • Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022
  • Siloam Springs Regional Hospital Hospital, Siloam Springs, AR, CCN 040001
  • Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004017667MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physicians LLC CurrentSince May 16, 2017 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
Arkansas Children'S Hospital CurrentSince Apr 16, 2021 Accepting new patients
Arkansas Childrens Hospital CurrentSince Apr 16, 2021 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine Current Accepting new patients
Arkansas Childrens Professional Services Organization LLC CurrentSince Jul 1, 2025 Accepting new patients
Northwest Physicians LLC CurrentSince May 16, 2017 Accepting new patients
University of Arkansas CurrentSince Feb 1, 2023 Accepting new patients
The Orthopaedic and Joint Preservation Center of Arkansas, P.a. CurrentSince Feb 13, 2012 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jan 25, 2020 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jan 1, 2020 Accepting new patients
University Specialty Clinics - Orthopaedics Past Accepting new patients
University Specialty Clinics - Orthopaedics Past Accepting new patients
Andrews Sports Medicine and Orthopaedic Center Past Accepting new patients

Locations

525 N Garland Ave
Fayetteville, AR 72701
Phone (479) 575-4451

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

201 W Van Asche Loop
Fayetteville, AR 72703
Phone (479) 966-4055

3900 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 966-4187

201 W Van Asche Loop
#A
Fayetteville, AR 72703
Phone (479) 966-4491

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

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

2601 Gene George Blvd
Springdale, AR 72762
Phone (479) 725-6800

Organizations & group practices 14

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 14

Hospital & facility affiliations 4

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1497841530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 N PARKVIEW DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036398",
            "telephone_number": "479-966-4187",
            "fax_number": "479-966-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 N PARKVIEW DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036398",
            "telephone_number": "479-966-4187",
            "fax_number": "479-966-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YLANAN",
        "first_name": "RAMON",
        "middle_name": "CARLOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2004017667",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "31290",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "SC",
            "license": "31290",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AR",
            "license": "E-7389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312904",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0534520001",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.