Individual provider Active NPI

Fred Lyles, M.D.

  • Family Medicine Physician
  • Hot Springs, AR
National Provider Identifier
1609826486
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C6852 Issued in AR
Practice address
1629 Airport Rd Ste B
Hot Springs, AR 71913-8069
Phone
(501) 767-0075
Fax
(501) 760-2739
NPI assigned
May 11, 2006
Last updated
May 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C6852 AR
Family Medicine Physician 207Q00000X C6852 AR Primary

Addresses

Primary practice location

1629 Airport Rd Ste B
Hot Springs, AR 71913-8069

Mailing address

1661 Airport Rd Ste D
Hot Springs, AR 71913-8184
Phone (501) 624-7500

Other identifiers 1

IdentifierTypeStateIssuer
110131001MedicaidAR

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
I20040603001182 AR Practitioner - Emergency MedicinePractitioner - Family Practice 3072595941 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Arkansas College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Healthcare Services LLCGroup PAC ID 9335134402, 19 clinicians

Practice addresses (Care Compare)

1900 Malvern Ave
Suite 201
Hot Springs, AR 71901-7777
Phone (501) 623-6455

1910 Malvern Ave
Hot Springs, AR 71901-7752
Phone (501) 625-3400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians Practice Management PLLC Family Medicine CurrentSince Apr 18, 2024 Accepting new patients
Arkansas Healthcare Services LLC CurrentSince Dec 1, 2016 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince May 6, 2020 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC CurrentSince Sep 25, 2020 Accepting new patients
First Care Family Medicine-Mena PLLC Family Medicine CurrentSince Sep 25, 2020 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Family Medicine CurrentSince Sep 25, 2020 Accepting new patients
Emergency Staffing Solutions Region III Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Healthstar Physicians of Hot Springs Family Medicine CurrentSince Sep 25, 2020 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Family Medicine Current Accepting new patients
Nes Kentucky Inc Emergency Medicine CurrentSince Sep 1, 2020 Accepting new patients
De Queen Medical Center Inc Past Accepting new patients
Paragon Contracting Services LLC Emergency Medicine Past Accepting new patients
Acs Primary Care Physicians of Arkansas PA Emergency Medicine Past Accepting new patients
Markham Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Saline Clinics LLC Family Medicine Past Accepting new patients
Tyler Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

1801 Martin Luther King Jr Dr
Helena, AR 72342
Phone (870) 338-5800

120 Adcock Rd
Ste A
Hot Springs, AR 71913
Phone (501) 651-4500

120 Adcock Rd
#A
Hot Springs National Park, AR 71913
Phone (501) 651-4500

1629 Airport Rd
Ste B
Hot Springs National Park, AR 71913
Phone (501) 767-0075

1661 Airport Rd
Ste D
Hot Springs National Park, AR 71913
Phone (501) 547-5718

1661 Airport Rd
Ste F
Hot Springs National Park, AR 71913
Phone (501) 651-4300

1900 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 624-0123

1910 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 321-1000

4517 Park Ave
Hot Springs National Park, AR 71901
Phone (501) 623-7900

121 Cordoba Center Dr
Ste 400
Hot Springs Village, AR 71909
Phone (501) 915-0837

3024 Stadium Blvd
Jonesboro, AR 72404
Phone (870) 972-7000

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

1706 Highway 71 N
Mena, AR 71953
Phone (479) 394-1500

311 Morrow St N
Mena, AR 71953
Phone (479) 394-6100

130 Medical Cir
Nashville, AR 71852
Phone (501) 624-7700

1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178

Interoperability endpoints

  • Direct secure messaging: fred.lyles.1@16721.direct.athenahealth.com
  • Direct secure messaging: fred.lyles.1@2554.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/2554/brand/4/csg/1/fhir/r4

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 1

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1609826486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 AIRPORT RD STE D",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719138184",
            "telephone_number": "501-624-7500",
            "fax_number": "501-625-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 AIRPORT RD STE B",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719138069",
            "telephone_number": "501-767-0075",
            "fax_number": "501-760-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYLES",
        "first_name": "FRED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "C6852",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C6852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110131001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.