NPIMap

Individual provider Active NPI

Samuel L Hughes, MD

  • Radiation Oncology Physician
  • Russellville, AR
National Provider Identifier
1619927241
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MA76583 Issued in NJ
Practice address
1808 W Main St
Russellville, AR 72801
Phone
(479) 964-9119
NPI assigned
May 12, 2006
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MA76583 NJ Primary

Addresses

Primary practice location

1808 W Main St
Russellville, AR 72801

Mailing address

PO Box 2009
Russellville, AR 72811-2009
Phone (479) 964-9119

Other practice location 1

9048 Sugar Est
Charlotte Kimelman Cancer Institute
St Thomas, VI 00802-3634
Phone (340) 775-5433 ext. 8109

Other identifiers 16

IdentifierTypeStateIssuer
010005690OtherAMERICHOICE
0871205000OtherAMERIHEALTH, KEYSTONE, IBC
1849627 0004MedicaidPA
2721771000OtherKEYSTONE IBC
30035096OtherKEYSTONE MERCY
6168488OtherCIGNA
950494OtherPENNSYLVANIA BLUE SHIELD
1863592OtherINDEPENDENCE BC PABS
60000607OtherHORIZON NJ HEALTH
42278OtherUNIVERSITY HEALTHPLAN
P00067988OtherRR MEDICARE
1249860OtherPAAETNA
2521909OtherUNITED HEALTHCARE
3371019OtherNJAETNA
P3003991OtherNJOXFORD
0014869MedicaidNJ

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
I20181015002661 AR Practitioner - Radiation Oncology 8426950601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Missouri, Columbia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1808 W Main St
Russellville, AR 72801-2724
Phone (479) 964-9118

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA76583NJMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hughes Cancer Care, LTD Radiation Oncology CurrentSince Sep 4, 2018 Accepting new patients
Radiation Oncology, PC Radiation Oncology PastSince Jul 1, 2014 Accepting new patients
The Cooper Health System Past Accepting new patients
Urological Associates, PC Past Accepting new patients

Locations

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1619927241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2009",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728112009",
            "telephone_number": "479-964-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72801",
            "telephone_number": "479-964-9119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9048 Sugar Est",
            "address_2": "Charlotte Kimelman Cancer Institute",
            "address_purpose": "LOCATION",
            "city": "St Thomas",
            "state": "VI",
            "postal_code": "008023634",
            "country_code": "US",
            "telephone_number": "340-775-5433 x8109",
            "fax_number": "340-741-5433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "SAMUEL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "MA76583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "010005690",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH, KEYSTONE, IBC",
            "identifier": "0871205000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1849627 0004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE IBC",
            "identifier": "2721771000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30035096",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6168488",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BLUE SHIELD",
            "identifier": "950494",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BC PABS",
            "identifier": "1863592",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60000607",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTHPLAN",
            "identifier": "42278",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00067988",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1249860",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2521909",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3371019",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3003991",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014869",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

Verify at the official NPI Registry.