Active NPI
John Tyler Baber Sr., MD
- Gastroenterology Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- C4911
- Practice address
- 415 N University Ave
Little Rock, AR 72205-3108 - Phone
- (501) 666-0249
- Fax
- (501) 666-4340
- NPI assigned
- Oct 5, 2005
- Last updated
- Oct 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | C4911 | AR | Primary |
Addresses
Primary practice location
415 N University Ave
Little Rock, AR 72205-3108
Mailing address
415 N University Ave
Little Rock, AR 72205-3108
Phone (501) 666-0249
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0100114958 | Other | AR | RAILROAD MEDICARE |
| 15139000000 | Other | AR | QUALCHOICE |
| 2920017 | Other | AR | UNITED HEALTH |
| 4203424 | Other | AR | AETNA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Arkansas College of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10001 Lile Dr
Little Rock, AR 72205-6217
Phone (501) 227-8000
415 N University Ave
Little Rock, AR 72205-3108
Phone (501) 666-0249
7709 Hwy 107
Sherwood, AR 72120-4661
Phone (501) 552-7269
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 172 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 147 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4911 | AR | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group | Gastroenterology | Current | Accepting new patients |
| D.Dean Kumpuris,M.D.and Glenn R.Davis,M.D.,P.a. | Gastroenterology | Past | Accepting new patients |
| St Vincent Physician Clinics LLC | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1 Saint Vincent Cir
Ste 210
Little Rock, AR 72205
Phone (501) 319-7437
16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888
415 N University Ave
Little Rock, AR 72205
Phone (501) 664-6841
417 N University Ave
Little Rock, AR 72205
Phone (501) 664-0249
Interoperability endpoints
- jbaber455802@direct.stlukeshealth.org
- john.baber@svmgs.eclinicaldirectplus.com
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.
-
dba Kumpuris and Davis M.D., P.A.
- Gastroenterology Physician
- Little Rock, AR
- NPI 1093777419
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1134558398
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1316144546
-
- General Practice Physician
- Hot Springs, AR
- NPI 1497880124
Hospital
-
- Psychiatric Hospital Unit
- Hot Springs, AR
- NPI 1619915949
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1689628232
-
dba St Vincent Infirmary Medical Center - GeroPsych Unit
- Psychiatric Hospital Unit
- Little Rock, AR
- NPI 1710442801
-
dba St. Vincent Health System
- General Acute Care Hospital
- Little Rock, AR
- NPI 1780684431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1699762484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N UNIVERSITY AVE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053108",
"telephone_number": "501-666-0249",
"fax_number": "501-666-4340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N UNIVERSITY AVE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053108",
"telephone_number": "501-666-0249",
"fax_number": "501-666-4340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABER",
"first_name": "JOHN",
"middle_name": "TYLER",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-05",
"last_updated": "2024-10-03",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AR",
"license": "C4911",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "0100114958",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "15139000000",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "2920017",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4203424",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.