Individual provider Active NPI

Charles Roy Klepper, M.D.

  • Internal Medicine Physician
  • Harrison, AR
National Provider Identifier
1942275334
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C4948 Issued in AR
Practice address
707 N Main St
Harrison, AR 72601-2912
Phone
(870) 741-3592
Fax
(870) 741-7733
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C4948 AR
Internal Medicine Physician 207R00000X C4948 AR Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X C4948 AR

Addresses

Primary practice location

707 N Main St
Harrison, AR 72601-2912

Mailing address

707 N Main St
Harrison, AR 72601-2912
Phone (870) 741-3592

Other identifiers 1

IdentifierTypeStateIssuer
101296001MedicaidAR

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
I20100612000129 AR Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Geriatric Medicine 6103884911 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System Family Medicine CurrentSince Nov 1, 2019 Accepting new patients
Washington Regional Medical System CurrentSince Nov 1, 2019 Accepting new patients
Washington Regional Medical System Family Medicine Current Accepting new patients

Locations

707 N Main St
Harrison, AR 72601
Phone (870) 741-1166

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCDABA/Endpoint/DCDABA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1942275334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012912",
            "telephone_number": "870-741-3592",
            "fax_number": "870-741-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012912",
            "telephone_number": "870-741-3592",
            "fax_number": "870-741-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEPPER",
        "first_name": "CHARLES",
        "middle_name": "ROY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C4948",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "C4948",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AR",
            "license": "C4948",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101296001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.