Individual provider Active NPI

Natalie J Rodriguez, MD

  • Family Medicine Physician
  • Springdale, AR
National Provider Identifier
1649733478
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-15337 Issued in AR
Practice address
601 W Maple Ave Ste 102
Springdale, AR 72764-5370
Phone
(479) 750-6585
Fax
(479) 750-6594
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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
Family Medicine Physician 207Q00000X E-15337 AR Primary

Addresses

Primary practice location

601 W Maple Ave Ste 102
Springdale, AR 72764-5370

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 1

1125 N College Ave
Fayetteville, AR 72703-1908
Phone (501) 376-2211

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
I20220909000502 AR Practitioner - Family Practice 8628452711 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Arkansas for Medical SciencesGroup PAC ID 4082528955, shared by 29 NPIs, 1,159 clinicians
Springdale Bentonville HBP Services LLCGroup PAC ID 1052759263, 88 clinicians

Practice addresses (Care Compare)

1125 N College Ave
Uams Family Medical Center
Fayetteville, AR 72703-1908
Phone (479) 521-8260

3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (479) 553-1000

601 W Maple Ave
102 Northwest Family Med CT
Springdale, AR 72764-5370
Phone (479) 750-6585

Hospital & facility affiliations

  • Washington Regional Medical Center Hospital, Fayetteville, AR, CCN 040004
  • Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022
  • University of Arkansas Medical Sciences Hospital, Little Rock, AR, CCN 040016

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Ies HSP Arkansas PLLC CurrentSince May 7, 2023 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Springdale- Bentonville HBP Services, LLC CurrentSince May 3, 2024 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine Past Accepting new patients

Locations

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

1125 N College Ave
Fayetteville, AR 72703
Phone (479) 521-8260

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

601 W Maple Ave
Ste 102
Springdale, AR 72764
Phone (479) 750-6585

Interoperability endpoints

  • Direct secure messaging: nrodriguez46787@washingtonregional.direct-ci.com

Organizations & group practices 7

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 3

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1649733478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W MAPLE AVE STE 102",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645370",
            "telephone_number": "479-750-6585",
            "fax_number": "479-750-6594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 N College Ave",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727031908",
            "country_code": "US",
            "telephone_number": "501-376-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "NATALIE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-15337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.