Individual provider Active NPI

Ivory Amelia Kinslow, MD

  • Ophthalmology Physician
  • El Dorado, AR
National Provider Identifier
1972575702
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C7743 Issued in AR
Practice address
443 W Oak St
El Dorado, AR 71730-4566
Phone
(870) 862-2340
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Arkansas College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivory a Kinslow Mdpa 2 clinicians

Practice addresses (Care Compare)

310 Thompson Ave
El Dorado, AR 71730-4569
Phone (870) 892-2340

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
94.5
Improvement activities
40
Cost
76.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery911

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
I20110124000236 AR Practitioner - Ophthalmology 1850371709 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C7743ARMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ivory a. Kinslow, Mdpa Ophthalmology CurrentSince Mar 30, 2013 Accepting new patients
Magnolia Surgery Center, LLC CurrentSince Dec 23, 2025 Accepting new patients
Ivory a. Kinslow, Mdpa Ophthalmology CurrentSince Mar 30, 2013 Accepting new patients
Ivory a. Kinslow, Mdpa Ophthalmology Past Accepting new patients

Locations

443 W Oak St
El Dorado, AR 71730
Phone (870) 862-1351

310 Thompson Ave
El Dorado, AR 71730
Phone (870) 862-4216

300 Thompson Ave
El Dorado, AR 71730
Phone (870) 862-2340

25 Columbia Road 47
Magnolia, AR 71753
Phone (870) 234-5665

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C7743 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

443 W Oak St
El Dorado, AR 71730-4566

Mailing address

443 W Oak St
El Dorado, AR 71730-4566
Phone (870) 862-2340

Other practice location 1

300 Thompson Ave
El Dorado, AR 71730-4569
Phone (870) 862-2340

Other practice location 2

443 W Oak St
El Dorado, AR 71730-4566
Phone (870) 862-2340

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
180037761OtherARRAILROAD MEDICARE
15205000000OtherARQUALCHOICE
126721001MedicaidAR

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 4, 2024.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1972575702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 W OAK ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304566",
            "telephone_number": "870-862-2340",
            "fax_number": "870-863-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 W OAK ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304566",
            "telephone_number": "870-862-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Thompson Ave",
            "address_purpose": "LOCATION",
            "city": "El Dorado",
            "state": "AR",
            "postal_code": "717304569",
            "country_code": "US",
            "telephone_number": "870-862-2340",
            "fax_number": "870-862-2548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "443 W Oak St",
            "address_purpose": "LOCATION",
            "city": "El Dorado",
            "state": "AR",
            "postal_code": "717304566",
            "country_code": "US",
            "telephone_number": "870-862-2340",
            "fax_number": "870-863-4951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINSLOW",
        "first_name": "IVORY",
        "middle_name": "AMELIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "C7743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180037761",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "15205000000",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126721001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.