Individual provider Active NPI

Michael John Farris, M.D.

  • Emergency Medicine Physician
  • Neosho, MO
National Provider Identifier
1801891387
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E-14204 Issued in AR
Practice address
113 W Hickory St
Neosho, MO 64850
Phone
(417) 455-4276
NPI assigned
Jun 20, 2005
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2014009219 MO
Emergency Medicine Physician 207P00000X E-14204 AR Primary
Emergency Medicine Physician 207P00000X 0430692 KS
Family Medicine Physician 207Q00000X 0430692 KS
Family Medicine Physician 207Q00000X E-14204 AR

Addresses

Primary practice location

113 W Hickory St
Neosho, MO 64850

Mailing address

1411 13000 Rd
Altamont, KS 67330-9305
Phone (620) 423-2051

Other practice location 1

1411 13000 Rd
Altamont, KS 67330-9305
Phone (620) 423-2051

Other practice location 2

1600 N 2nd St
Clinton, MO 64735-1192
Phone (660) 885-5511

Other identifiers 4

IdentifierTypeStateIssuer
0430692OtherKSSTATE LICENSE
2014009219OtherMOSTATE LICENSE
200263590AMedicaidKS
2500021669OtherMOBNDD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR, 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
I20140812001858 MO Practitioner - Emergency MedicinePractitioner - Family Practice 2466426192 Reassigns benefits to 2 organizations
I20210614003495 AR Practitioner - Family Practice 2466426192 Reassigns benefits to 3 organizations
I20240528003907 OK Practitioner - Emergency Medicine 2466426192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2000
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

Merit-based Incentive Payment System (MIPS)

Final score
84.39 of 100Reported as group
Quality
99.78
Improvement activities
0
Cost
78.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Arkansas HBP Services LLC Emergency Medicine CurrentSince Nov 1, 2021 Accepting new patients
South Arkansas Emergency Physicians, LLP Emergency Medicine CurrentSince May 9, 2021 Accepting new patients
Freeman Neosho Hospital CurrentSince Apr 27, 2021 Accepting new patients
Ies Oklahoma LLC Emergency Medicine CurrentSince May 27, 2024 Accepting new patients
Ies Arkansas PLLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Freeman-Oak Hill Health System Family Medicine CurrentSince Apr 27, 2021 Accepting new patients
Springdale- Bentonville HBP Services, LLC Emergency Medicine CurrentSince May 3, 2024 Accepting new patients
Freeman Neosho Hospital CurrentSince Apr 27, 2021 Accepting new patients
Freeman-Oak Hill Health System CurrentSince Apr 27, 2021 Accepting new patients
South Arkansas Emergency Physicians LLP Emergency Medicine CurrentSince May 9, 2021 Accepting new patients
Siloam Springs Arkansas Hospital Company LLC Past Accepting new patients
Southwestern Medical Center, LLC Past Accepting new patients
Parsons Family Medicine, LLC Past Accepting new patients

Locations

1580 E Centerton Blvd
Bentonville, AR 72712
Phone (479) 553-2150

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

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

1255 S Shiloh Dr
Fayetteville, AR 72701
Phone (479) 757-1760

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

113 W Hickory St
Neosho, MO 64850
Phone (417) 347-1078

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366

Interoperability endpoints

  • Direct secure messaging: mfarris87024@surescripts.sfmc.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1801891387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 13000 RD",
            "city": "ALTAMONT",
            "state": "KS",
            "postal_code": "673309305",
            "telephone_number": "620-423-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W HICKORY ST",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "64850",
            "telephone_number": "417-455-4276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 13000 Rd",
            "address_purpose": "LOCATION",
            "city": "Altamont",
            "state": "KS",
            "postal_code": "673309305",
            "country_code": "US",
            "telephone_number": "620-423-2051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MO",
            "postal_code": "647351192",
            "country_code": "US",
            "telephone_number": "660-885-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2014009219",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-14204",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "0430692",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0430692",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-14204",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0430692",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2014009219",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200263590A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BNDD",
            "identifier": "2500021669",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neosho, MO

Sources for this page

Verify at the official NPI Registry.