NPIMap

Individual provider Active NPI

Samuel Baxter, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Little Rock, AR
National Provider Identifier
1902292360
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
E-14638 Issued in AR
Practice address
5320 W Markham St
Little Rock, AR 72205-3528
Phone
(501) 975-5633
Fax
(501) 227-0710
NPI assigned
Apr 13, 2015
Last updated
Dec 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X E-14638 AR Primary

Addresses

Primary practice location

5320 W Markham St
Little Rock, AR 72205-3528

Mailing address

5320 W Markham St
Little Rock, AR 72205-3528
Phone (501) 255-6577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210823000671 AR Practitioner - Orthopedic Surgery 8921399411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arkansas College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martin Knee and Sports Medicine Center, PAGroup PAC ID 5991853285, 9 clinicians

Practice addresses (Care Compare)

2504 McCain Blvd
Suite 101
North Little Rock, AR 72116-7669
Phone (501) 975-5633

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement78
Knee replacement186
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Knee and Sports Medicine Center, PA Adult Reconstructive Orthopaedic Surgery CurrentSince Sep 7, 2021 Accepting new patients
Martin Knee and Sports Medicine Center, PA Adult Reconstructive Orthopaedic Surgery CurrentSince Sep 7, 2021 Accepting new patients

Locations

5320 W Markham St
Little Rock, AR 72205
Phone (501) 975-5633

2504 McCain Blvd
Ste 101
North Little Rock, AR 72116
Phone (501) 406-7640

Organizations & group practices 2

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1902292360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053528",
            "telephone_number": "501-255-6577",
            "fax_number": "501-227-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053528",
            "telephone_number": "501-975-5633",
            "fax_number": "501-227-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "AR",
            "license": "E-14638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.