Active NPI
Fabian Enrique Latorre Jr., MD
- Hospitalist Physician
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME156624
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Hospitalist Physician | 208M00000X | MD61542367 | WA | |
| Student in an Organized Health Care Education/Training Program | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080579802 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WA, AR, IA, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME156624 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sound Inpatient Physicians PLLC | Single Specialty | Current | Accepting new patients |
| Springdale- Bentonville HBP Services, LLC | Single Specialty | Current | Accepting new patients |
| Franciscan Medical Group | Family Medicine | Current | Accepting new patients |
| LCMS Rehabilitation Institute of Southwest Louisiana | Single Specialty | Current | Accepting new patients |
| Hni Hospital Services of Florida, LLC | Single Specialty | Current | Accepting new patients |
| Virginia Mason Medical Center | Single Specialty | Current | Accepting new patients |
| Virginia Mason Medical Center | Single Specialty | Current | Accepting new patients |
| Hni Medical Services of Florida, LLC | Single Specialty | Current | Accepting new patients |
| Franciscan Medical Group | Single Specialty | Current | Accepting new patients |
| Virginia Mason Medical Center | Single Specialty | Current | Accepting new patients |
| Franciscan Medical Group | Single Specialty | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Single Specialty | Current | Accepting new patients |
| Iowa Physicians Clinic Medical Foundation | Single Specialty | Current | 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
- 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.
-
- Neonatal-Perinatal Medicine Physician
- Bentonville, AR
- NPI 1811762701
Single Specialty
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Single Specialty
-
- Physical Medicine & Rehabilitation Physician
- Lake Charles, LA
- NPI 1215161922
Single Specialty
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
Single Specialty
-
- Critical Care Medicine (Internal Medicine) Physician
- Panama City, FL
- NPI 1144851411
Single Specialty
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1679048284
Single Specialty
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1023285756
Single Specialty
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
Single Specialty
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1508023789
Single Specialty
-
- Internal Medicine Physician
- Lynnwood, WA
- NPI 1568510774
Single Specialty
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
-
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
-
- Gastroenterology Physician
- Lake Charles, LA
- NPI 1285351411
Hospital
-
- Rheumatology Physician
- Lake Charles, LA
- NPI 1659424075
Hospital
-
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1972549855
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.