Individual provider Active NPI

Jeffrey D. Bell, M.D.

  • Surgery Physician
  • Fayetteville, AR
National Provider Identifier
1851375158
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E4752 Issued in AR
Practice address
3264 N. North Hills Blvd.
377TH Medical Group
Fayetteville, AR 72703-4005
Phone
(479) 521-3300
Fax
(479) 521-4914
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2002-0497 NM
Surgery Physician 208600000X K7658 TX
Surgery Physician 208600000X E4752 AR Primary

Addresses

Primary practice location

3264 N. North Hills Blvd.
377TH Medical Group
Fayetteville, AR 72703-4005

Mailing address

3264 N. North Hills Blvd.
Fayetteville, AR 72703-4005
Phone (479) 521-3300

Other identifiers 1

IdentifierTypeStateIssuer
163164001MedicaidAR

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
I20061130000265 AR Practitioner - General SurgeryPractitioner - Vascular Surgery 7810905247 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3 E Appleby Rd
Suite 401
Fayetteville, AR 72703-3163
Phone (479) 404-2500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy44
Hernia repair (minimally invasive)18
Upper gastrointestinal (GI) endoscopy for acid reflux30
Melanoma (skin cancer) excision11
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7658TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roller Weight Loss Institute Inc Surgery CurrentSince Jan 2, 2018 Accepting new patients
Washington Regional Medical System CurrentSince Jan 1, 2020 Accepting new patients
Roller Weight Loss Institute,Inc. Surgery CurrentSince Jan 2, 2018 Accepting new patients
Washington Regional Medical System CurrentSince Jan 1, 2020 Accepting new patients
Washington Regional Medical System Past Accepting new patients

Locations

3 E Appleby Rd
Ste 401
Fayetteville, AR 72703
Phone (479) 404-2500

1695 E Rainforest Rd
Fayetteville, AR 72703
Phone (479) 445-6460

Interoperability endpoints

  • Direct secure messaging: jbell21361@washingtonregional.direct-ci.com
  • Direct secure messaging: jeffrey.bell.p1@direct.fsa.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1851375158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3264 N. NORTH HILLS BLVD.",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034005",
            "telephone_number": "479-521-3300",
            "fax_number": "479-521-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3264 N. NORTH HILLS BLVD.",
            "address_2": "377TH MEDICAL GROUP",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034005",
            "telephone_number": "479-521-3300",
            "fax_number": "479-521-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "JEFFREY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "2002-0497",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "K7658",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E4752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163164001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.