NPIMap

Individual provider Active NPI

Benjamin M Dodge, M.D.

  • Orthopaedic Surgery Physician
  • Conway, AR
National Provider Identifier
1922090471
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
C7472 Issued in AR
Practice address
550Club Lane
Suite 1
Conway, AR 72034-3681
Phone
(501) 329-1510
Fax
(501) 329-5697
NPI assigned
Aug 19, 2005
Last updated
Nov 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X C7472 AR Primary

Addresses

Primary practice location

550Club Lane
Suite 1
Conway, AR 72034-3681

Mailing address

550 Club LN
Suite 1
Conway, AR 72034-3681
Phone (501) 329-1510

Other identifiers 4

IdentifierTypeStateIssuer
123211001MedicaidAR
12593000000OtherARQUALCHOICE
200016131OtherARRR MEDICARE
5J081OtherARBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050421001512 AR Practitioner - Orthopedic Surgery 9436197175 Reassigns benefits to 2 organizations
I20221110001422 MI Practitioner - Orthopedic Surgery 9436197175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arkansas College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White River Health System, Inc.Group PAC ID 0143134270, 190 clinicians
Arkansas Healthcare Services LLCGroup PAC ID 9335134402, 19 clinicians

Practice addresses (Care Compare)

1690 Harrison St
WRMC Orthopaedic and Sports Medicine Clinic
Batesville, AR 72501-7317
Phone (870) 793-2371

1910 Malvern Ave
Hot Springs, AR 71901-7752
Phone (501) 625-3400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Healthcare Services LLC Orthopaedic Surgery CurrentSince Jul 1, 2025 Accepting new patients
White River Health System, Inc. Orthopaedic Surgery CurrentSince Nov 24, 2025 Accepting new patients
South Arkansas Physician Services LLC CurrentSince Jan 30, 2020 Accepting new patients
White River Health System, Inc. CurrentSince Nov 24, 2025 Accepting new patients

Locations

1690 Harrison St
Batesville, AR 72501

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

501 Virginia Dr
Ste C
Batesville, AR 72501

620 W Grove St
Ste 202
El Dorado, AR 71730
Phone (870) 863-2420

104 Hollywood Ave
Hot Springs National Park, AR 71901
Phone (501) 321-0555

1900 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 624-0123

Interoperability endpoints

  • Direct secure messaging: benjamin.dodge.1@2554.direct.athenahealth.com
  • Direct secure messaging: benjamin.dodge@1246.chartlogic.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/2554/brand/4/csg/1/fhir/r4

Organizations & group practices 6

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1922090471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 CLUB LN",
            "address_2": "SUITE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343681",
            "telephone_number": "501-329-1510",
            "fax_number": "501-329-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550CLUB LANE",
            "address_2": "SUITE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343681",
            "telephone_number": "501-329-1510",
            "fax_number": "501-329-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "BENJAMIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "C7472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123211001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "12593000000",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "200016131",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5J081",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.