Sarikun Tjandra, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

E-3340 Issued in AR

Practice address

7001 Rogers Ave Ste 200
Fort Smith, AR 72903-4022

Phone

(479) 314-4600

Fax

(479) 314-3630

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Internal Medicine

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River Valley Primary Care ServicesGroup PAC ID 0042274276, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
• Baptist Health - Fort Smith Hospital, Fort Smith, AR, CCN 040055

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stjandra589727@direct.ochin.org
• Direct secure messaging: stjandra123860@directb.mercy.net

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.

• River Valley Primary Care Services

  • Federally Qualified Health Center (FQHC)
  • Ratcliff, AR
  • NPI 1952349003
  Medicare reassignment Care Compare group NPD
• River Valley Primary Care Services

  • Federally Qualified Health Center (FQHC)
  • Fort Smith, AR
  • NPI 1023163193
  NPD
• River Valley Primary Care Services

  • Community/Retail Pharmacy
  • Mountainburg, AR
  • NPI 1164222113
  NPD
• Cooper Clinic PA

  • Multi-Specialty Clinic/Center
  • Fort Smith, AR
  • NPI 1154341931
  NPD (past)
• Sparks Regional Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Fort Smith, AR
  • NPI 1841469905
  NPD (past)
• St Edward Medical Services, Inc.

  • Primary Care Clinic/Center
  • Van Buren, AR
  • NPI 1588878466
  NPD (past)
• Western Arkansas Medical Associates

  • Internal Medicine Physician
  • Fort Smith, AR
  • NPI 1750472114
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health Regional Hospitals

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1710463146
  Care Compare affiliation
• Mercy Hospital Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1568433480
  Care Compare affiliation

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1891704227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 ROGERS AVE STE 200",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034022",
            "telephone_number": "479-314-4600",
            "fax_number": "479-314-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 ROGERS AVE STE 200",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034022",
            "telephone_number": "479-314-4600",
            "fax_number": "479-314-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TJANDRA",
        "first_name": "SARIKUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AR",
            "license": "E-3340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146689001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100224840A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Britney Tibbs, QBHP
• Hillaree Tiffee, OTR/L
• Richard Eugene Timmons-Vendryes, MD
• Zachary Tippin, M.D.
• April D Tipton, MHPP
• TLC Counseling & Consulting, LLC
• TMC Psychological Services PLLC
• Jonathan Lane Tobey, MD
• Makayla Tom, PLMSW
• Neshaydith Navola J'Anne Tompkins, D.C.

• Pulmonary Disease Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Pulmonary Disease Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.