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DR. CLINTON J FULLER M.D.
NPI 1548214380
Radiology - Diagnostic Radiology in Little Rock, AR

Active since May 19, 2006
69.37/100
CMS Quality Rating
9601 LILE DR, SUITE 1100, LITTLE ROCK, AR 72205(501) 227-5256(501) 227-9151 Get Directions Write a Review

NPPES record last updated: January 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Clinton J Fuller M.d. NPPES

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

DR. CLINTON J FULLER M.D. (NPI 1548214380) is an individual diagnostic radiology provider in Little Rock, Arkansas, licensed in Arkansas (C-5055) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1548214380
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. CLINTON J FULLERCredential: M.D.
Location Address9601 LILE DR, SUITE 1100Little Rock, AR 72205-6321
Mailing Address9601 Lile Dr, Suite 1100Little Rock, AR 72205-6321 · (501) 227-5256 · Fax (501) 227-9151
Phone(501) 227-5256
Fax(501) 227-9151
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateJanuary 19, 2010
✔ NPI 1548214380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in AR · C-5055
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
9601 LILE DR, Little Rock, AR 72205
Open in Google Maps ↗

Other Identifiers 3

Medicare UPIND79433AR
Medicaid109834001AR
Medicare ID-Type Unspecified51792AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.03
Improvement Activities40
Cost52.86

Other Providers at the Same Location NPPES 20

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

DR. W DALE PERRYMORE M.D.
Radiology (Diagnostic Radiology)
9601 LILE DR, SUITE 1100
LITTLE ROCK, AR 72205
Pulaski County (501) 227-5256
DERLIS MARTINO MD PA
Thoracic Surgery (Cardiothoracic Vascular Surgery)
9601 LILE DR, SUITE 650
LITTLE ROCK, AR 72205
Pulaski County (501) 223-2860
ABDALLA A. TAHIRI, M.D.,P.A.
Specialist
9601 LILE DR, STE 1070
LITTLE ROCK, AR 72205
Pulaski County (501) 217-8500
MS. DONNA MARIE FLOREZ 'RN, CS
Clinical Nurse Specialist (Adult Health)
9601 LILE DR, SUITE 890
LITTLE ROCK, AR 72205
Pulaski County (501) 224-0110
RICHARD ALLEN OWINGS M.D. P.H.D.
Psychiatry & Neurology (Psychiatry)
9601 LILE DR, SUITE 1050
LITTLE ROCK, AR 72205
Pulaski County (501) 228-7400
DR. PHILIP LEWIS MIZELL M.D.
Psychiatry & Neurology (Psychiatry)
9601 LILE DR, SUITE 1050
LITTLE ROCK, AR 72205
Pulaski County (501) 228-7400
GEORGE TIMOTHY BURSON M.D.
Neurological Surgery
9601 LILE DR, SUITE 310
LITTLE ROCK, AR 72205
Pulaski County (501) 224-0200
GLORIA DIANE DOHERTY L.C.S.W.
Social Worker (Clinical)
9601 LILE DR, SUITE 1050
LITTLE ROCK, AR 72205
Pulaski County (501) 228-7400

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 Clinton Fuller's NPI number?

The NPI number for Clinton Fuller is 1548214380. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Clinton Fuller located?

Clinton Fuller practices at 9601 Lile Dr Suite 1100, Little Rock, AR 72205. The listed phone number is (501) 227-5256.

What is Clinton Fuller's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

What insurance does Clinton Fuller accept?

Health plans from Blue Cross and Blue Shield of Texas list Clinton Fuller 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 Clinton Fuller was last updated on January 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.