Organization Active NPI

Balentine Medical Services, PLLC

  • Family Medicine Physician
  • Maumelle, AR
National Provider Identifier
1629869904
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BALENTINE MEDICAL SERVICES, PLLC
Practice address
147 Summit Valley Cir
Maumelle, AR 72113-6096
Phone
(501) 258-4433
Fax
(229) 264-5700
NPI assigned
May 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Robert Balentine, MDNPI 1609927706
Title
Owner
Phone
(501) 258-4433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

147 Summit Valley Cir
Maumelle, AR 72113-6096

Mailing address

147 Summit Valley Cir
Maumelle, AR 72113-6096
Phone (501) 258-4433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250729003583 AR Part B Supplier - Clinic/Group Practice 7315454816 Receives reassigned benefits from 1 practitioner
Practice locations: Hot Springs, AR

National Provider Directory

National Provider Directory
Tax ID family
Balentine Med SVCS PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1629869904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 SUMMIT VALLEY CIR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136096",
            "telephone_number": "501-258-4433",
            "fax_number": "229-264-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 SUMMIT VALLEY CIR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136096",
            "telephone_number": "501-258-4433",
            "fax_number": "229-264-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALENTINE MEDICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "BALENTINE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-258-4433",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumelle, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.