Individual provider Active NPI

Eric Bantayan Ranon, MD

  • Internal Medicine Physician
  • Rogers, AR
National Provider Identifier
1861476137
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E-18274 Issued in AR
Practice address
3801 W Financial Pkwy Ste 102
Rogers, AR 72758-1499
Phone
(479) 877-7780
Fax
(479) 877-7781
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME92650 FL
Internal Medicine Physician 207R00000X E-18274 AR Primary

Addresses

Primary practice location

3801 W Financial Pkwy Ste 102
Rogers, AR 72758-1499

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone (479) 877-7780

Other practice location 1

564 Avenue K SE
Winter Haven, FL 33880-4203
Phone (863) 295-5604

Other identifiers 1

IdentifierTypeStateIssuer
272227500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050913000850 FL Practitioner - Internal Medicine 8921031766 Reassigns benefits to 1 organization
I20250106000651 AR Practitioner - Internal Medicine 8921031766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Northwest Arkansas CommunitiesGroup PAC ID 0648177873, shared by 5 NPIs, 314 clinicians

Practice addresses (Care Compare)

2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 338-8000

613 N 2ND St
Rogers, AR 72756-6611
Phone (479) 878-1060

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 19, 2025 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 1, 2025 Accepting new patients
Palm Medical Centers CurrentSince Jun 1, 2018 Accepting new patients
Health Holdings Company LLC CurrentSince Jun 1, 2018 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 1, 2025 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 1, 2025 Accepting new patients
Palm Medical Center Hospitalist Group, LLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

613 N 2nd St
Rogers, AR 72756
Phone (479) 787-1060

3801 W Financial Pkwy
#102
Rogers, AR 72758
Phone (479) 877-7780

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

2250 Osprey Blvd
Ste 101
Bartow, FL 33830
Phone (863) 533-4454

2600 S Douglas Rd
Ste 308
Coral Gables, FL 33134
Phone (305) 777-9590

6849 Taft St
Hollywood, FL 33024
Phone (954) 266-2920

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

135 E 1st St
Lakeland, FL 33805
Phone (863) 686-2728

733 S Goldenrod Rd
Ste B
Orlando, FL 32822
Phone (407) 249-7999

1509 W Reynolds St
Plant City, FL 33563
Phone (813) 704-6905

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

950 1st St S
Winter Haven, FL 33880
Phone (863) 293-7778

6836 Medical View Ln
Zephyrhills, FL 33542
Phone (813) 778-0454

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1755820800000",
    "number": "1861476137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "479-877-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 W FINANCIAL PKWY STE 102",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581499",
            "telephone_number": "479-877-7780",
            "fax_number": "479-877-7781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "564 Avenue K SE",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338804203",
            "country_code": "US",
            "telephone_number": "863-295-5604",
            "fax_number": "863-295-5398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANON",
        "first_name": "ERIC",
        "middle_name": "BANTAYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME92650",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-18274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272227500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.