John Max Deloach Jr., MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

C6400 Issued in AR

Practice address

3401 Springhill Dr
Ste 400
North Little Rock, AR 72117

Phone

(501) 945-4422

Fax

(501) 955-6046

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Surgery

Education

University of Arkansas College of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pulaski Surgery Clinic PAGroup PAC ID 1951206093, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

92.78

Promoting interoperability

99

Improvement activities

40

Cost

90.01

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/862/brand/1/csg/1/fhir/r4
• Direct secure messaging: john.deloach.1@862.direct.athenahealth.com

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.

• Pulaski Surgery Clinic PA

  • Surgery Physician
  • North Little Rock, AR
  • NPI 1790756328
  Medicare reassignment Care Compare group NPD
• Springhill Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • North Little Rock, AR
  • NPI 1790742328
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health

  dba Baptist Health Medical Center-North Little Rock

  • General Acute Care Hospital
  • North Little Rock, AR
  • NPI 1497790042
  Care Compare affiliation

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1740252873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 SPRINGHILL DR",
            "address_2": "STE 400",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72117",
            "telephone_number": "501-945-4422",
            "fax_number": "501-955-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 SPRINGHILL DR",
            "address_2": "STE 400",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72117",
            "telephone_number": "501-945-4422",
            "fax_number": "501-955-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOACH",
        "first_name": "JOHN",
        "middle_name": "MAX",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "C6400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111221001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip James Deer IV, PHARM.D.
• Tara Valinchus Dejohn, PHD, LCSW
• Toni Michelle Del Cid, BCBA
• Karen Sue Dellinger, PTA
• Abigail Leigh Deloach, MD
• Eugenia Shari Delph
• Robert Shaw Dempster, DDS
• Denesh K Khullar DDS PA
• Carol Ann Denham, OTR/L
• Christopher Brian Denham, RKT

• Surgery Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.

Verify at the official NPI Registry.