Individual provider Active NPI

Robert Terrell III, PA

  • Physician Assistant
  • Little Rock, AR
National Provider Identifier
1962898460
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-611 Issued in AR
Practice address
600 S McKinley St
Little Rock, AR 72205-5202
Phone
(501) 663-3647
Fax
(501) 666-9653
NPI assigned
Apr 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-611 AR Primary

Addresses

Primary practice location

600 S McKinley St
Little Rock, AR 72205-5202

Mailing address

600 S McKinley St
Little Rock, AR 72205-5202
Phone (501) 663-3647

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150422000144 AR Practitioner - Physician Assistant 7517285687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Express, LLPGroup PAC ID 9739131442, 68 clinicians

Practice addresses (Care Compare)

11819 Maumelle Blvd
North Little Rock, AR 72113-6567
Phone (501) 771-9355

125 Arkansas Blvd
Texarkana, AR 71854-1963
Phone (870) 772-9355

1554 Country Club Rd
Sherwood, AR 72120-5095
Phone (501) 500-1012

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
71.48
Promoting interoperability
100
Improvement activities
40
Cost
75.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Express, LLP CurrentSince May 1, 2018 Accepting new patients
Healthcare Express, LLP CurrentSince May 1, 2018 Accepting new patients
Arkansas Specialty Care Centers PA Past Accepting new patients
Orthoarkansas, PA Past Accepting new patients
Healthcare Express, LLP Past Accepting new patients

Locations

1021 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 518-0018

11819 Maumelle Blvd
North Little Rock, AR 72113
Phone (501) 771-9355

1554 Country Club Rd
Sherwood, AR 72120
Phone (501) 500-1012

125 Arkansas Blvd
Texarkana, AR 71854
Phone (870) 772-9355

3515 Richmond Rd
Texarkana, TX 75503
Phone (903) 831-7270

Organizations & group practices 12

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": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1962898460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S MCKINLEY ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055202",
            "telephone_number": "501-663-3647",
            "fax_number": "501-666-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MCKINLEY ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055202",
            "telephone_number": "501-663-3647",
            "fax_number": "501-666-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "ROBERT",
        "name_suffix": "III",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.