Individual provider Active NPI

Rachel Carlisle Macleod, MD

  • Pediatrics Physician
  • Bentonville, AR
National Provider Identifier
1669849733
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E10197 Issued in AR
Practice address
4100 SW I Street
Suite 100
Bentonville, AR 72712
Phone
(479) 636-9234
NPI assigned
Aug 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X E10197 AR Primary

Addresses

Primary practice location

4100 SW I Street
Suite 100
Bentonville, AR 72712

Mailing address

4100 SW I Street
Suite 100
Bentonville, AR 72712
Phone (479) 636-9234

Other practice location 1

325 S 6th Pl
Lowell, AR 72745-9704
Phone (479) 636-9234

Other practice location 2

1 Mercy Way Ste 30
Bella Vista, AR 72714-3000
Phone (479) 636-9234

Other practice location 3

3101 SE 14th St
Bentonville, AR 72712-4900
Phone (479) 636-9234

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
I20180611000895 AR Practitioner - Pediatric Medicine 5698020949 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E10197ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Apr 29, 2018 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Oct 1, 2020 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Apr 29, 2018 Accepting new patients
Mercy Hospital Rogers Past Accepting new patients

Locations

1 Mercy Way
Ste 30
Bella Vista, AR 72714
Phone (479) 636-9234

4100 SW I St
Ste 100
Bentonville, AR 72713
Phone (479) 636-9234

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

325 S 6th Pl
Lowell, AR 72745
Phone (479) 636-9234

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1669849733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SW I STREET",
            "address_2": "SUITE 100",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "72712",
            "telephone_number": "479-636-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SW I STREET",
            "address_2": "SUITE 100",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "72712",
            "telephone_number": "479-636-9234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 S 6th Pl",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "AR",
            "postal_code": "727459704",
            "country_code": "US",
            "telephone_number": "479-636-9234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Mercy Way Ste 30",
            "address_purpose": "LOCATION",
            "city": "Bella Vista",
            "state": "AR",
            "postal_code": "727143000",
            "country_code": "US",
            "telephone_number": "479-636-9234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 SE 14th St",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727124900",
            "country_code": "US",
            "telephone_number": "479-636-9234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACLEOD",
        "first_name": "RACHEL",
        "middle_name": "CARLISLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E10197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

Verify at the official NPI Registry.