NPIMap

Individual provider Active NPI

Robert Anthony Dorman, MD

  • Internal Medicine Physician
  • Arkadelphia, AR
National Provider Identifier
1598764896
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C5783 Issued in AR
Practice address
2850 Twin Rivers Dr
Suite 101-a
Arkadelphia, AR 71923-4212
Phone
(870) 246-6766
Fax
(870) 246-3860
NPI assigned
Jul 19, 2005
Reactivated
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C5783 AR Primary

Addresses

Primary practice location

2850 Twin Rivers Dr
Suite 101-a
Arkadelphia, AR 71923-4212

Mailing address

2850 Twin Rivers Dr
Suite 101-a
Arkadelphia, AR 71923-4212
Phone (870) 246-6766

Other identifiers 3

IdentifierTypeStateIssuer
51418OtherBCBS
105262001MedicaidAR
14478000000OtherQUALCHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110505000403 AR Practitioner - Internal Medicine 7517142607 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Arkansas College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

2850 Twin Rivers Dr
Suite 101a
Arkadelphia, AR 71923-4226
Phone (870) 246-6766

3050 Twin Rivers Dr
Arkadelphia, AR 71923-4218
Phone (501) 851-7402

3333 Springhill Dr
North Little Rock, AR 72117-2922
Phone (501) 851-7402

460 Unity Rd
Arkadelphia, AR 71923-4226

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Anthony Dorman MD PA CurrentSince Jan 1, 1984 Accepting new patients
Baptist Health CurrentSince Jan 13, 2020 Accepting new patients
Baptist Health CurrentSince Jan 13, 2020 Accepting new patients
Arkansas Health Group Internal Medicine CurrentSince Dec 12, 2011 Accepting new patients

Locations

3050 Twin Rivers Dr
Arkadelphia, AR 71923
Phone (501) 202-2300

2850 Twin Rivers Dr
Arkadelphia, AR 71923
Phone (870) 246-8036

2850 Twin Rivers Dr
Ste 101A
Arkadelphia, AR 71923
Phone (870) 246-6766

9601 Interstate 630
#7
Little Rock, AR 72205
Phone (501) 202-3995

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

Interoperability endpoints

  • Direct secure messaging: rdorman2109@direct.baptist-healthar.org

Organizations & group practices 4

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1598764896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 TWIN RIVERS DR",
            "address_2": "SUITE 101-A",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719234212",
            "telephone_number": "870-246-6766",
            "fax_number": "870-246-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 TWIN RIVERS DR",
            "address_2": "SUITE 101-A",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719234212",
            "telephone_number": "870-246-6766",
            "fax_number": "870-246-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMAN",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2009-11-09",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "C5783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51418",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105262001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "14478000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arkadelphia, AR

Sources for this page

Verify at the official NPI Registry.