Individual provider Active NPI

Michael L. Buffington, M.D.

  • Family Medicine Physician
  • Fayetteville, AR
National Provider Identifier
1922007905
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C4241 Issued in AR
Practice address
34 W Colt Square Dr Ste 3
Fayetteville, AR 72703-2888
Phone
(479) 521-1420
Fax
(866) 286-2967
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C4241 AR Primary

Addresses

Primary practice location

34 W Colt Square Dr Ste 3
Fayetteville, AR 72703-2888

Mailing address

PO Box 1266
Fayetteville, AR 72702-1266
Phone (479) 521-1420

Other identifiers 3

IdentifierTypeStateIssuer
12471000000OtherARQUALCHOICE
137676001MedicaidAR
50748OtherARBLUE CROSS BLUE SHIELD

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
I20051114000289 AR Practitioner - Family Practice 6204822471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mike Buffington, M.D., P.a.Group PAC ID 7214955962, 2 clinicians

Practice addresses (Care Compare)

34 W Colt Square Dr
Suite 3
Fayetteville, AR 72703-2888
Phone (479) 521-1420

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C4241ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mike Buffington, M.D., P.a. Family Medicine CurrentSince Jun 20, 2005 Accepting new patients

Locations

1314 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 642-4343

34 W Colt Square Dr
Ste 3
Fayetteville, AR 72703
Phone (479) 521-1420

1794 E Joyce Blvd
Ste 2
Fayetteville, AR 72703
Phone (479) 935-3378

Organizations & group practices 1

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1922007905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1266",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727021266",
            "telephone_number": "479-521-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 W COLT SQUARE DR STE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032888",
            "telephone_number": "479-521-1420",
            "fax_number": "866-286-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFINGTON",
        "first_name": "MICHAEL",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C4241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "12471000000",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137676001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "50748",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.