Individual provider Active NPI

Geoffrey L Paddack, M.D.

  • Diagnostic Radiology Physician
  • Fort Smith, AR
National Provider Identifier
1609194455
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E-8015 Issued in AR
Practice address
5707 Jenny Lind Rd
Fort Smith, AR 72908-7435
Phone
(479) 452-9416
Fax
(479) 484-0827
NPI assigned
May 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X AR
Diagnostic Radiology Physician 2085R0202X E-8015 AR Primary

Addresses

Primary practice location

5707 Jenny Lind Rd
Fort Smith, AR 72908-7435

Mailing address

PO Box 3887
Fort Smith, AR 72913-3887
Phone (479) 452-9416

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
I20160706001788 AR Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8729370093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of Oklahoma College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiologists PAGroup PAC ID 9830140607, 20 clinicians

Practice addresses (Care Compare)

1501 S Waldron Rd
Suite 109
Fort Smith, AR 72903-2568
Phone (479) 474-1616

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 452-9416

Hospital & facility affiliations

  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
  • Mercy Hospital Paris Hospital, Paris, AR, CCN 041300
  • Mercy Hospital Booneville Hospital, Booneville, AR, CCN 041318
  • Mercy Hospital Waldron Hospital, Waldron, AR, CCN 041305
  • Mercy Hospital Ozark Hospital, Ozark, AR, CCN 041303

Merit-based Incentive Payment System (MIPS)

Final score
90.96 of 100Reported as group
Quality
99.75
Improvement activities
40
Cost
70.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-8015ARMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiologists PA Diagnostic Radiology CurrentSince Jul 4, 2016 Accepting new patients
Allrad PLLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Radiology Services P a Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Prime Medical Imaging, a Division of Radiologists, P.a. Diagnostic Radiology Past Accepting new patients

Locations

6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000

2322 S 57th St
Fort Smith, AR 72903
Phone (479) 314-6303

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

1501 S Waldron Rd
Ste 109
Fort Smith, AR 72903
Phone (479) 242-3310

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

5707 Jenny Lind Rd
Fort Smith, AR 72908
Phone 4794529416101

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

320 S 9th St
Van Buren, AR 72956
Phone (479) 474-1616

3206 4th St
Longview, TX 75605
Phone (903) 663-7393

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 5

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": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1609194455",
    "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": "PADDACK",
        "first_name": "GEOFFREY",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E-8015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.