Individual provider Active NPI

Fabian Enrique Latorre Jr., MD

  • Hospitalist Physician
  • Fayetteville, AR
National Provider Identifier
1265782601
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME156624 Issued in FL
Practice address
1125 N College Ave
Fayetteville, AR 72703-1908
Phone
(479) 521-8260
NPI assigned
Sep 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Hospitalist Physician 208M00000X MD61542367 WA
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X
Hospitalist Physician 208M00000X ME156624 FL Primary

Addresses

Primary practice location

1125 N College Ave
Fayetteville, AR 72703-1908

Mailing address

1125 N College Ave
Fayetteville, AR 72703-1908
Phone (479) 521-8260

Other identifiers 1

IdentifierTypeStateIssuer
080579802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA, AR, IA, LA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20220701002586 FL Practitioner - Hospitalist 9436539889 Reassigns benefits to 2 organizations
I20241125004047 WA Practitioner - HospitalistPractitioner - Family Practice 9436539889 Reassigns benefits to 3 organizations
I20241130000201 AR Practitioner - Hospitalist 9436539889 Reassigns benefits to 1 organization
I20251105001643 IA Practitioner - Family Practice 9436539889 Reassigns benefits to 1 organization
I20251122000382 LA Practitioner - Family Practice 9436539889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LCMS Rehabilitation Institute of Southwest LouisianaGroup PAC ID 7012061930, 35 clinicians
Springdale Bentonville HBP Services LLCGroup PAC ID 1052759263, 88 clinicians

Practice addresses (Care Compare)

1000 Walters St
Lake Charles, LA 70607-4647
Phone (337) 480-8066

2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-2303

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as apm
Quality
89.39
Promoting interoperability
85.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME156624FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Single Specialty CurrentSince Apr 4, 2025 Accepting new patients
Springdale- Bentonville HBP Services, LLC Single Specialty CurrentSince Nov 14, 2024 Accepting new patients
Franciscan Medical Group Family Medicine CurrentSince Nov 11, 2024 Accepting new patients
LCMS Rehabilitation Institute of Southwest Louisiana Single Specialty CurrentSince Aug 15, 2025 Accepting new patients
Hni Hospital Services of Florida, LLC Single Specialty CurrentSince Jul 15, 2022 Accepting new patients
Virginia Mason Medical Center Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Virginia Mason Medical Center Single Specialty Current Accepting new patients
Hni Medical Services of Florida, LLC Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
Franciscan Medical Group Single Specialty Current Accepting new patients
Virginia Mason Medical Center Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Franciscan Medical Group Single Specialty CurrentSince Nov 11, 2024 Accepting new patients
South Sound Inpatient Physicians PLLC Single Specialty CurrentSince Apr 4, 2025 Accepting new patients
Iowa Physicians Clinic Medical Foundation Single Specialty CurrentSince Oct 1, 2025 Accepting new patients
St Francis Community Hospital Single Specialty Past Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients
Franciscan Health System Past Accepting new patients
Saint Clare Hospital Past Accepting new patients

Locations

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

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

1000 Walters St
Lake Charles, LA 70607
Phone (337) 475-8687

7500 Rialto Blvd
Ste 1-140
Austin, TX 78735

380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

4575 Sand Point Way NE
Ste 108
Seattle, WA 98105
Phone (206) 525-8000

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: flatorre5340159@direct.casso.us.com

Organizations & group practices 17

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

View all 17

Hospital & facility affiliations 5

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": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1265782601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N COLLEGE AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031908",
            "telephone_number": "479-521-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N COLLEGE AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031908",
            "telephone_number": "479-521-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATORRE",
        "first_name": "FABIAN",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-13",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD61542367",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME156624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080579802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.