Individual provider Active NPI

Maria Cristina M Judit, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Springdale, AR
National Provider Identifier
1740294032
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
E3118 Issued in AR
Practice address
4077 Elm Springs Rd
Springdale, AR 72762-3748
Phone
(479) 927-2100
Fax
(479) 927-2211
NPI assigned
Jul 29, 2006
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X E3118 AR Primary

Addresses

Primary practice location

4077 Elm Springs Rd
Springdale, AR 72762-3748

Mailing address

4077 Elm Springs Rd
Springdale, AR 72762-3748
Phone (479) 927-2100

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
I20110127000689 AR Practitioner - Geriatric MedicinePractitioner - Internal Medicine 8325236995 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E3118ARMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Circle of Life CurrentSince Jun 8, 2020 Accepting new patients
Northwest Benton County Physician Services LLC CurrentSince Apr 11, 2016 Accepting new patients
QHG of Springdale, Inc. Geriatric Medicine Past Accepting new patients

Locations

1801 Forest Hills Blvd
Ste 201
Bella Vista, AR 72715
Phone (479) 224-6411

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

2422 N Thompson St
Ste A
Springdale, AR 72764
Phone (479) 750-6566

901 Jones Rd
Springdale, AR 72762
Phone (479) 750-6632

Organizations & group practices 3

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1740294032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4077 ELM SPRINGS RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727623748",
            "telephone_number": "479-927-2100",
            "fax_number": "479-927-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 ELM SPRINGS RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727623748",
            "telephone_number": "479-927-2100",
            "fax_number": "479-927-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDIT",
        "first_name": "MARIA CRISTINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AR",
            "license": "E3118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.