Individual provider Active NPI

Michael Robert Poulos, D.O

  • Family Medicine Physician
  • Searcy, AR
National Provider Identifier
1720512858
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-12084 Issued in AR
Practice address
3214 E Race Ave
Searcy, AR 72143-4810
Phone
(501) 380-2290
Fax
(501) 380-2282
NPI assigned
Apr 15, 2017
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X AC201661D ID
Family Medicine Physician 207Q00000X E-12084 AR Primary
Family Medicine Physician 207Q00000X DR.0064818 CO
Internal Medicine Physician 207R00000X DR.0064818 CO
Hospitalist Physician 208M00000X DR.0064818 CO

Addresses

Primary practice location

3214 E Race Ave
Searcy, AR 72143-4810

Mailing address

2900 Hawkins Dr
Searcy, AR 72143-4802
Phone (501) 278-2800

Other practice location 1

1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone (719) 776-8040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, CO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190614001124 AR Practitioner - Family Practice 8022341551 Reassigns benefits to 3 organizations
I20230829004587 CO Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 8022341551 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-12084ARMDFamily Medicine Physician
AC201661DIDMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
White County Medical Center Family Medicine CurrentSince May 1, 2019 Accepting new patients
White County Medical Center Hospitalist Current Accepting new patients
Mark a Norden M.D.,PC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Unity Health - Newport CurrentSince Jul 28, 2022 Accepting new patients
Arkansas Health Group Current Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Jul 30, 2023 Accepting new patients
White County Medical Center CurrentSince May 1, 2019 Accepting new patients
Usacs of Colorado, Inc Emergency Medicine CurrentSince Jul 30, 2023 Accepting new patients
Unity Health - Newport CurrentSince Jul 28, 2022 Accepting new patients
White County Medical Center CurrentSince Mar 16, 2020 Accepting new patients

Locations

2725 Highway 25B
Heber Springs, AR 72543
Phone (501) 362-5800

1117 McLain St
Ste 500
Newport, AR 72112
Phone (870) 523-6464

1205 McLain St
Newport, AR 72112
Phone (870) 512-3441

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

2902 E Race Ave
Searcy, AR 72143
Phone (501) 236-0225

3214 E Race Ave
Searcy, AR 72143
Phone (501) 268-6121

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1492214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1720512858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 HAWKINS DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434802",
            "telephone_number": "501-278-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 E RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434810",
            "telephone_number": "501-380-2290",
            "fax_number": "501-380-2282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1008 Minnequa Ave",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810043733",
            "country_code": "US",
            "telephone_number": "719-776-8040",
            "fax_number": "719-776-8050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POULOS",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-15",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "ID",
            "license": "AC201661D",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-12084",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0064818",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0064818",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0064818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.