Rondall Kevin Haney, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

C-8120 Issued in AR

Practice address

5433 Walsh Lane
Rogers, AR 72758

Phone

(479) 464-8346

Fax

(479) 464-9046

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Diagnostic RadiologyAlso: Vascular Surgery

Education

University of Arkansas College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ozark Regional Vein Center LLCGroup PAC ID 0244483089, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.57 of 100Reported as individual

Quality

57.15

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ozark Regional Vein Center, LLC

  • Diagnostic Radiology Physician
  • Rogers, AR
  • NPI 1295089605
  Medicare reassignment Care Compare group NPD Authorized official
• Medical Associates of Northwest Arkansas PA

  • Diagnostic Radiology Physician
  • Fayetteville, AR
  • NPI 1134170160
  NPD (past)
• Bon Secours-Virginia Healthsource

  • Internal Medicine Physician
  • Richmond, VA
  • NPI 1831122233
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1770525594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5433 W WALSH LN",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588946",
            "telephone_number": "479-464-8346",
            "fax_number": "479-464-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5433 WALSH LANE",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "72758",
            "telephone_number": "479-464-8346",
            "fax_number": "479-464-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "RONDALL",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "AR",
            "license": "C-8120",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "C-8120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00255263",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127110001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BC/BS",
            "identifier": "5J657",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200060590A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madelynn Hancock
• Peggy S Hancock, LPC
• Audrey Frances Hand
• Saadia Haneef, D.O.
• Karen Ludwig Haney, MD
• Hanger Prosthetics & Orthotics East Inc
• Chrystal Hankins, MSOT, OTR/L
• Janie Katherine Hankins, M.S., CCC-SLP
• Merideth Karen Hanks, APN
• Vera Caroline Ann Hanna, APRN

• Diagnostic Radiology Physician in Rogers, AR
• Providers in Rogers, AR by specialty
• Diagnostic Radiology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.