DAVID M STREET PA
NPI 1487252755
Physician Assistant - Surgical in Benton, AR

Active since October 09, 2020PECOS EnrolledAccepts Medicare Assignment
2010 ACTIVE WAY, BENTON, AR 72022(501) 315-0984(501) 847-1405 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David M Street Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID M STREET PA (NPI 1487252755) is an individual surgical provider in Benton, Arkansas, licensed in Arkansas (PT2020058) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1487252755
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDAVID M STREETCredential: PA
Location Address2010 ACTIVE WAYBenton, AR 72022-9267
Mailing Address2010 Active WayBenton, AR 72022-9267 · (501) 315-0984 · Fax (501) 847-1405
Fax(501) 847-1405
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 9, 2020
NPPES CertifiedOctober 9, 2020
NPI 1487252755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in AR · PT2020058
2010 ACTIVE WAY, Benton, AR 72022

Other Identifiers 1

OtherPT2020-058AR · Arkansas State License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

David M Street Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799105565
PECOS Enrollment IDI20201015002824
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services11 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
2010 ACTIVE WAY
BENTON, AR 72022
Physical Therapist
2010 ACTIVE WAY
BENTON, AR 72022
Physician Assistant (Surgical)
2010 ACTIVE WAY
BRYANT, AR 72022
Physical Medicine & Rehabilitation (Sports Medicine)
2010 ACTIVE WAY
BENTON, AR 72022
Physician Assistant
2010 ACTIVE WAY
BRYANT, AR 72022
Orthopaedic Surgery
2010 ACTIVE WAY
BENTON, AR 72022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Street's NPI number?

The NPI number for David Street is 1487252755. It was assigned to this individual provider in the NPPES registry on October 9, 2020.

Where is David Street located?

David Street practices at 2010 Active Way, Benton, AR 72022. The listed phone number is (501) 315-0984.

What is David Street's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is David Street enrolled in Medicare?

Yes. David Street is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Street accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list David Street as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Street was last updated on October 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.