Individual provider Active NPI

Dustin Paul Pope, D.O.

  • Family Medicine Physician
  • Lowell, AR
National Provider Identifier
1063547834
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-4799 Issued in AR
Practice address
503 Hospitality LN
Lowell, AR 72745-8359
Phone
(479) 657-6600
Fax
(479) 657-6632
NPI assigned
Feb 22, 2007
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-4799 AR Primary

Addresses

Primary practice location

503 Hospitality LN
Lowell, AR 72745-8359

Mailing address

PO Box 1523
Fayetteville, AR 72702-1523
Phone (479) 571-6038

Other identifiers 1

IdentifierTypeStateIssuer
167237003MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dustin.pope@mana.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080208000449 AR Practitioner - Family Practice 2163505439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apex Family Medical Clinic, PAGroup PAC ID 3577717925, 4 clinicians

Practice addresses (Care Compare)

503 Hospitality LN
Lowell, AR 72745-8359
Phone (479) 657-6600

5206 Village Pkwy
Suite 10
Rogers, AR 72758-8137

5206 W Village Pkwy
Rogers, AR 72758-8137
Phone (479) 657-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-4799ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Family Medical Clinic, P.a. CurrentSince Dec 12, 2023 Accepting new patients
Ozark Concierge Clinic,PLLC Family Medicine CurrentSince Mar 20, 2025 Accepting new patients
Medical Associates of Northwest Arkansas PA CurrentSince Nov 1, 2025 Accepting new patients
Medical Associates of Northwest Arkansas, PA Family Medicine Current Accepting new patients
Medical Associates of Northwest Arkansas PA Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Medical Associates of Northwest Arkansas PA Family Medicine Past Accepting new patients
Medical Associates of Northwest Arkansas PA Family Medicine Past Accepting new patients

Locations

3344 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 582-7213

503 Hospitality Ln
Lowell, AR 72745
Phone (479) 657-6600

5206 W Village Pkwy
Ste 10
Rogers, AR 72758
Phone (479) 379-1201

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1063547834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1523",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727021523",
            "telephone_number": "479-571-6038",
            "fax_number": "479-582-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 HOSPITALITY LN",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727458359",
            "telephone_number": "479-657-6600",
            "fax_number": "479-657-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "DUSTIN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-4799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167237003",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dustin.pope@mana.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Provider's Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "503 Hospitality Ln",
            "city": "Lowell",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727458359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lowell, AR

Sources for this page

Verify at the official NPI Registry.