Individual provider Active NPI

Mansoor Alam, MD

  • Internal Medicine Physician
  • Bentonville, AR
National Provider Identifier
1174750962
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E-7076 Issued in AR
Practice address
609 SW 8TH St Ste 640
Bentonville, AR 72712-7886
Phone
(412) 512-1193
Fax
(479) 250-1392
NPI assigned
Jun 18, 2009
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-7076 AR Primary
Internal Medicine Physician 207R00000X MD2009-0084 NM
Hospitalist Physician 208M00000X E7076 AR

Addresses

Primary practice location

609 SW 8TH St Ste 640
Bentonville, AR 72712-7886

Mailing address

609 SW 8TH St Ste 640
Bentonville, AR 72712-7886
Phone (412) 512-1193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110718000182 AR Practitioner - Internal Medicine 8325192354 Reassigns benefits to 15 organizations
I20250123000492 OK Practitioner - Internal Medicine 8325192354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sebastian Physician Services, PLLCGroup PAC ID 5294178448, 41 clinicians
Springdale Bentonville HBP Services LLCGroup PAC ID 1052759263, 88 clinicians
Mercy Clinic Fort Smith CommunitiesGroup PAC ID 3870668510, shared by 4 NPIs, 361 clinicians
Ies HSP Oklahoma LLCGroup PAC ID 2163863341, 14 clinicians

Practice addresses (Care Compare)

1001 Towson Ave
Fort Smith, AR 72901-4921
Phone (479) 441-4000

3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (479) 553-1000

3501 We Knight Dr
Fort Smith, AR 72903-6254
Phone (479) 709-6700

5602 SW Lee Blvd
Lawton, OK 73505-9635
Phone (580) 531-4700

7001 Rogers Ave
Suite 200
Fort Smith, AR 72903-4022
Phone (479) 314-4620

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2009-0084NMMDInternal Medicine Physician
E7076ARMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Waldron CurrentSince Oct 5, 2025 Accepting new patients
Mercy Hospital Booneville Current Accepting new patients
Ies HSP Arkansas PLLC Hospitalist CurrentSince Jan 1, 2023 Accepting new patients
Sebastian Physician Services, PLLC Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
Mercy Hospital Ozark CurrentSince Jul 1, 2025 Accepting new patients
Crawford Physician Services, PLLC Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
Ies HSP Oklahoma LLC Hospitalist CurrentSince Jan 1, 2025 Accepting new patients
Mercy Hospital Paris CurrentSince Oct 5, 2025 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Nov 7, 2016 Accepting new patients
Mercy Health Northwest Arkansas Communities Hospitalist CurrentSince Jul 31, 2017 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Mercy Hospital Paris CurrentSince Oct 5, 2025 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jul 31, 2017 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Dec 20, 2012 Accepting new patients
Springdale- Bentonville HBP Services, LLC Hospitalist CurrentSince Sep 17, 2025 Accepting new patients
Arkansas Post Discharge Services, PLLC Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
Northwest Benton County Physician Services LLC CurrentSince Jul 1, 2011 Accepting new patients
Mercy Hospital Ozark Current Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Dec 20, 2012 Accepting new patients
Aims PLLC Internal Medicine Current Accepting new patients
Mercy Hospital Booneville CurrentSince Oct 5, 2025 Accepting new patients
Roswell Hospital Corporation Past Accepting new patients
Roswell Hospital Corporation Internal Medicine Past Accepting new patients
Southwestern Medical Center, LLC Past Accepting new patients

Locations

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

609 SW 8th St
Ste 640
Bentonville, AR 72712
Phone (412) 512-1193

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

880 W Main St
Booneville, AR 72927
Phone (479) 675-2800

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

3501 We Knight Dr
Fort Smith, AR 72903
Phone (479) 709-6700

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7303 Rogers Ave
Ste 101
Fort Smith, AR 72903
Phone (479) 314-4620

801 W River St
Ozark, AR 72949
Phone (479) 667-4138

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 4

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": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1174750962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 SW 8TH ST STE 640",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127886",
            "telephone_number": "412-512-1193",
            "fax_number": "479-250-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 SW 8TH ST STE 640",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127886",
            "telephone_number": "412-512-1193",
            "fax_number": "479-250-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAM",
        "first_name": "MANSOOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-7076",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2009-0084",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AR",
            "license": "E7076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

Verify at the official NPI Registry.