JOHN R TISDALE M.D.
NPI 1649414525
Internal Medicine in Little Rock, AR
About John R Tisdale M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN R TISDALE M.D. (NPI 1649414525) is an individual internal medicine provider in Little Rock, Arkansas, licensed in Arkansas (E-18802) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chinle, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John R Tisdale M.d. 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.
Medicare Billing Reassignments
3Medicare enrollment records show John Tisdale reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Rock, AR 72223
- Reassigned Medicare billing, Arkansas enrollment
- 2,038 clinicians in this Medicare group
Little Rock, AR 72202
- Reassigned Medicare billing, Arkansas enrollment
- 653 clinicians in this Medicare group
Tsaile, AZ 86556
- Reassigned Medicare billing, Texas enrollment
- 476 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LITTLE ROCK, AR 72223
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 John Tisdale's NPI number?
The NPI number for John Tisdale is 1649414525. It was assigned to this individual provider in the NPPES registry on April 23, 2009.
Where is John Tisdale located?
John Tisdale practices at 1811 Rahling Rd Ste 120, Little Rock, AR 72223. The listed phone number is (501) 214-2360.
What is John Tisdale's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is John Tisdale enrolled in Medicare?
Yes. John Tisdale 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.
Which organizations bill Medicare for John Tisdale's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Tisdale reassigns Medicare benefits to 3 organizations: University Of Arkansas For Medical Sciences (Little Rock, AR), Arkansas Childrens Professional Services Organization LLC (Little Rock, AR) and Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (Tsaile, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Tisdale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Tisdale accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list John Tisdale 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 John Tisdale was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# John R Tisdale, M.D. · NPI 1649414525
Internal Medicine physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since April 23, 2009.
## Identity
- **NPI:** 1649414525 (Entity type: Individual)
- **Enumerated:** April 23, 2009
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** E-18802 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1811 RAHLING RD STE 120, Little Rock, AR 72223-4678
- **Phone:** (501) 214-2360 · **Fax:** (501) 214-2356
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Arkansas For Medical Sciences (NPI 1124791181, Little Rock, AR); Arkansas Childrens Professional Services Organization LLC (NPI 1629889464, Little Rock, AR); Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (NPI 1538185715, Tsaile, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** December 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649414525) · Data from the CMS NPPES public registry.