Individual provider Active NPI

Dennis B Yelvington, M.D.

  • Family Medicine Physician
  • Stuttgart, AR
National Provider Identifier
1932164035
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C6189 Issued in AR
Practice address
1609 N Medical Dr
Stuttgart, AR 72160-3274
Phone
(870) 673-7211
Fax
(870) 672-6823
NPI assigned
Apr 20, 2006
Last updated
May 13, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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 C6189 AR Primary

Addresses

Primary practice location

1609 N Medical Dr
Stuttgart, AR 72160-3274

Mailing address

PO Box 1901
Stuttgart, AR 72160-1901
Phone (870) 673-7211

Other identifiers 10

IdentifierTypeStateIssuer
201477729MedicaidAR
201478729MedicaidAR
C6189OtherARLICENSE
100907002MedicaidAR
101824001MedicaidAR
201479729MedicaidAR
201481729MedicaidAR
129735729MedicaidAR
129734729MedicaidAR
201482729MedicaidAR

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
I20040618001196 AR Practitioner - Family Practice 0941285548 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stuttgart Medical Clinic, LTDGroup PAC ID 8123176658, 10 clinicians
Baptist Medcare IncGroup PAC ID 5698667624, 53 clinicians

Practice addresses (Care Compare)

1609 N Medical Dr
Stuttgart, AR 72160-3274
Phone (870) 673-7395

1703 N Buerkle St
Lrerdg Stuttgart
Stuttgart, AR 72160-3153
Phone (870) 674-6375

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C6189ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Prairie Medical Group, PLLC CurrentSince Jul 28, 2014 Accepting new patients
Baptist Medcare, Inc CurrentSince Apr 1, 2021 Accepting new patients
Stuttgart Medical Clinic LTD Family Medicine Current Accepting new patients
Stuttgart Medical Clinic, LTD Family Medicine CurrentSince Jul 1, 1985 Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients
Stuttgart Regional Medical Center Family Medicine Past Accepting new patients
Stuttgart Regional Medical Center Family Medicine Past Accepting new patients

Locations

3050 Twin Rivers Dr
Arkadelphia, AR 71923
Phone (501) 202-2300

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1012 E 22nd St
Stuttgart, AR 72160
Phone (870) 672-0911

1609 N Medical Dr
Stuttgart, AR 72160
Phone (501) 673-7211

1703 N Buerkle St
Stuttgart, AR 72160
Phone (870) 674-6301

Interoperability endpoints

  • Direct secure messaging: dyelvington4045@direct.baptist-healthar.org

Organizations & group practices 8

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 8

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1932164035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1901",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721601901",
            "telephone_number": "870-673-7211",
            "fax_number": "870-672-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 N MEDICAL DR",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721603274",
            "telephone_number": "870-673-7211",
            "fax_number": "870-672-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELVINGTON",
        "first_name": "DENNIS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C6189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201477729",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201478729",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "C6189",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100907002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101824001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201479729",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201481729",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129735729",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129734729",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201482729",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuttgart, AR

Sources for this page

Verify at the official NPI Registry.