NPIMap

Individual provider Active NPI

Ronald E Tilley, MD

  • Pain Medicine (Anesthesiology) Physician
  • Mountain View, AR
National Provider Identifier
1982823225
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
E6049 Issued in AR
Practice address
2202 E Main St
Mountain View, AR 72560-6402
Phone
(870) 269-4144
Fax
(870) 269-7480
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X E-6049 AR
Pain Medicine (Anesthesiology) Physician 207LP2900X E6049 AR Primary

Addresses

Primary practice location

2202 E Main St
Mountain View, AR 72560-6402

Mailing address

1700 Harrison St Ste T
Batesville, AR 72501-7315
Phone (870) 262-6155

Other practice location 1

1700 Harrison St Ste T
Batesville, AR 72501-7315
Phone (870) 262-6155

Other identifiers 2

IdentifierTypeStateIssuer
5H573OtherARBCBS
440107501MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091005000743 AR Practitioner - Pain ManagementPractitioner - Anesthesiology 9830235837 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Arkansas College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White River Health System, Inc.Group PAC ID 0143134270, 190 clinicians

Practice addresses (Care Compare)

108 N Shackeford Rd
Little Rock, AR 72211-2840

1700 Harrison St
Suite T
Batesville, AR 72501-7315
Phone (870) 262-6155

1710 Harrison St
Batesville, AR 72501-7303

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E6049ARMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter County Regional Hospital, Inc CurrentSince Apr 11, 2017 Accepting new patients
White River Health System, Inc. Pain Medicine CurrentSince Dec 13, 2009 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Apr 11, 2017 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

1700 Harrison St
Ste T
Batesville, AR 72501
Phone (870) 262-3280

114 E Crandall Ave
#A
Harrison, AR 72601
Phone (870) 365-0003

17 Medical Plz
Mountain Home, AR 72653
Phone (870) 425-6212

2202 E Main St
Mountain View, AR 72560
Phone (870) 269-4144

Interoperability endpoints

  • Direct secure messaging: ronald.tilley@4330.securemail.prognocis.com

Organizations & group practices 5

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1982823225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HARRISON ST STE T",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017315",
            "telephone_number": "870-262-6155",
            "fax_number": "870-262-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 E MAIN ST",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725606402",
            "telephone_number": "870-269-4144",
            "fax_number": "870-269-7480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Harrison St Ste T",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "AR",
            "postal_code": "725017315",
            "country_code": "US",
            "telephone_number": "870-262-6155",
            "fax_number": "870-262-6512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "RONALD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E-6049",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AR",
            "license": "E6049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5H573",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440107501",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, AR

Sources for this page

Verify at the official NPI Registry.