Individual provider Active NPI

Larry Tyran Robins, M.D

  • Emergency Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1982135000
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E-12067 Issued in AR
Practice address
612 S 12TH St
Fort Smith, AR 72901-4702
Phone
(479) 785-2431
Fax
(479) 785-0732
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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 E-12067 AR
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X E-12067 AR Primary

Addresses

Primary practice location

612 S 12TH St
Fort Smith, AR 72901-4702

Mailing address

612 S 12TH St
Fort Smith, AR 72901-4702
Phone (479) 785-2431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190517000163 AR Practitioner - Family PracticePractitioner - Emergency Medicine 0648547042 Reassigns benefits to 19 organizations
I20201124001669 OK Practitioner - Family Practice 0648547042

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Arkansas College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

1 Mercy Way
Bella Vista, AR 72714-3000
Phone (479) 802-5555

Hospital & facility affiliations

  • Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-12067ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Booneville Current Accepting new patients
Mercy Hospital Ozark CurrentSince Jul 29, 2019 Accepting new patients
Ies Arkansas PLLC Emergency Medicine CurrentSince Jan 24, 2023 Accepting new patients
Nes Kentucky Inc Emergency Medicine CurrentSince Aug 18, 2019 Accepting new patients
South Arkansas Emergency Physicians, LLP Emergency Medicine CurrentSince Nov 16, 2020 Accepting new patients
South Arkansas Emergency Physicians LLP Emergency Medicine CurrentSince Nov 16, 2020 Accepting new patients
Hospital Care Consultants of Fordyce LLC CurrentSince May 1, 2019 Accepting new patients
Baptist Medcare, Inc Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
Mercy Hospital Berryville CurrentSince Sep 1, 2024 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Mercy Hospital Booneville CurrentSince Jul 29, 2019 Accepting new patients
Ess of Fordyce LLC Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
Mercy Hospital Paris Current Accepting new patients
Mercy Hospital Waldron CurrentSince Mar 1, 2023 Accepting new patients
Prime Physicians LLC CurrentSince May 3, 2019 Accepting new patients
Mercy Hospital Paris CurrentSince Jul 29, 2019 Accepting new patients
Mercy Hospital Paris CurrentSince Jul 29, 2019 Accepting new patients
Mercy Hospital Waldron CurrentSince Mar 1, 2023 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Mercy Hospital Ozark CurrentSince Jul 29, 2019 Accepting new patients
Mercy Hospital Booneville CurrentSince Jul 29, 2019 Accepting new patients

Locations

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

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

1 Mercy Way
Bella Vista, AR 72714
Phone (479) 802-5555

214 Carter St
Berryville, AR 72616
Phone (870) 423-3355

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

880 W Main St
Booneville, AR 72927
Phone (479) 675-2800

1100 E Poplar St
Clarksville, AR 72830
Phone (479) 754-5393

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

1800 By Pass Rd
Heber Springs, AR 72543
Phone (501) 887-3000

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

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

1001 Schneider Dr
Malvern, AR 72104
Phone (501) 332-1000

130 Medical Cir
Nashville, AR 71852
Phone (501) 624-7700

801 W River St
Ozark, AR 72949
Phone (479) 667-4138

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

4600 Mercy Ln
Springdale, AR 72762
Phone (479) 338-2911

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

211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 1

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1982135000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S 12TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014702",
            "telephone_number": "479-785-2431",
            "fax_number": "479-785-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S 12TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014702",
            "telephone_number": "479-785-2431",
            "fax_number": "479-785-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINS",
        "first_name": "LARRY",
        "middle_name": "TYRAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-12067",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-12067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.