Individual provider Active NPI

Rebecca Marie Padley, M.D., M.B.A.

  • Family Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1710229059
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-9587 Issued in AR
Practice address
612 S 12TH St
Fort Smith, AR 72901-4702
Phone
(479) 424-3193
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-9587 AR Primary

Addresses

Primary practice location

612 S 12TH St
Fort Smith, AR 72901-4702

Mailing address

612 S 12TH St
Fort Smith, AR 72901-4702
Phone (913) 636-0557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, IN, OK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160628001254 AR Practitioner - Family PracticePractitioner - Obstetrics/GynecologyPractitioner - Emergency Medicine 7911218862 Reassigns benefits to 14 organizations
I20171103000250 IN Practitioner - Family Practice 7911218862 Reassigns benefits to 1 organization
I20180322000819 OK Practitioner - Emergency Medicine 7911218862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springdale Bentonville HBP Services LLCGroup PAC ID 1052759263, 88 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Integris Grove Hospital Hospital, Grove, OK, CCN 370113
  • Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Booneville CurrentSince Jun 1, 2019 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince Jun 1, 2017 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jun 1, 2017 Accepting new patients
Nicole M. Scally MD PA Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
North Indiana Emergency Physicians, LLP CurrentSince Oct 12, 2017 Accepting new patients
Emergency Services of Oklahoma PC CurrentSince Apr 1, 2018 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jun 1, 2017 Accepting new patients
Mercy Hospital Ozark CurrentSince Jul 1, 2016 Accepting new patients
Mercy Hospital Booneville CurrentSince Jun 1, 2019 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Mercy Hospital Waldron CurrentSince Mar 1, 2023 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc CurrentSince May 28, 2017 Accepting new patients
Mercy Hospital Paris CurrentSince Jul 1, 2016 Accepting new patients
Mercy Hospital Paris CurrentSince Jul 1, 2016 Accepting new patients
Mercy Hospital Paris CurrentSince Jun 1, 2017 Accepting new patients
Springdale- Bentonville HBP Services, LLC CurrentSince Jun 9, 2024 Accepting new patients
Mercy Hospital Booneville Current Accepting new patients
Mercy Hospital Ozark CurrentSince Jul 1, 2016 Accepting new patients
South Central Emergency Services PC CurrentSince Apr 1, 2018 Accepting new patients
Integris Grove Hospital Past Accepting new patients
Maternity Center of Northwest Arkansas LLC PastSince Jul 24, 2022 Accepting new patients

Locations

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

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

880 W Main St
Booneville, AR 72927
Phone (479) 675-2800

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

1801 Martin Luther King Jr Dr
Helena, AR 72342
Phone (870) 338-5800

1910 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 321-1000

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

801 W River St
Ozark, AR 72949
Phone (479) 667-4138

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

5302 W Village Pkwy
Ste 3
Rogers, AR 72758
Phone (479) 282-2737

2000 S Promenade Blvd
Ste 202
Rogers, AR 72758
Phone (479) 282-2737

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

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

Organizations & group practices 22

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.

View all 22

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": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1710229059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S 12TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014702",
            "telephone_number": "913-636-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S 12TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014702",
            "telephone_number": "479-424-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADLEY",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-9587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.