Deland Darrell Burks, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

N7610 Issued in AR

Practice address

5707 Jenny Lind Rd
Fort Smith, AR 72908-7435

Phone

(479) 452-9416

Fax

(479) 484-0827

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Merit-based Incentive Payment System (MIPS)

Final score

90.96 of 100Reported as group

Quality

99.75

Improvement activities

40

Cost

70.21

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Radiologists PA

  • Diagnostic Radiology Physician
  • Fort Smith, AR
  • NPI 1780651117

  AR, Diagnostic Radiology

  Medicare reassignment NPD
• Radiology Services P a

  • Diagnostic Radiology Physician
  • Ft Smith, AR
  • NPI 1154301786

  AR, Diagnostic Radiology

  Medicare reassignment NPD
• Andre J. Nolewajka, MD, PA

  • Cardiovascular Disease Physician
  • Fort Smith, AR
  • NPI 1144224635
  NPD (past)
• Prime Medical Imaging, a Division of Radiologists, P.a.

  • Medical Specialty Clinic/Center
  • Van Buren, AR
  • NPI 1952318099

  Diagnostic Radiology

  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1528034873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3887",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729133887",
            "telephone_number": "479-452-9416",
            "fax_number": "479-484-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 JENNY LIND RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729087435",
            "telephone_number": "479-452-9416",
            "fax_number": "479-484-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "DELAND",
        "middle_name": "DARRELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "N7610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115912001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100070400A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Marie Bunnell, OT
• Tawsha Nichole Bunting
• Bailey Madison Burcham, AGNP-C
• Shelby R Burchfiel, QBHP
• Jennifer Lawless Burchfield, CRNA
• Jennifer E Burks, MD
• Bailey Burris, OTD, OTR/L
• Breanna Burris
• Matthew Burrous, MNSC, APRN
• Donnellie Faye Burton

• All providers in Fort Smith, AR
• Diagnostic Radiology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.

Verify at the official NPI Registry.