Individual provider Active NPI

Patricio Jose Montiel II, M.D.

  • Family Medicine Physician
  • Barling, AR
National Provider Identifier
1285053983
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-9971 Issued in AR
Practice address
7003 Chad Colley Blvd
Barling, AR 72923-3000
Phone
(479) 431-3500
NPI assigned
Apr 9, 2014
Last updated
Oct 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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-9971 AR Primary

Addresses

Primary practice location

7003 Chad Colley Blvd
Barling, AR 72923-3000

Mailing address

7003 Chad Colley Blvd
Barling, AR 72923-3000
Phone (479) 431-3500

Other identifiers 1

IdentifierTypeStateIssuer
218637001MedicaidAR

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
I20161205002312 AR Practitioner - Family Practice 9234440066 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-5175

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-9971ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Waldron CurrentSince Nov 1, 2016 Accepting new patients
Mercy Hospital Booneville Current Accepting new patients
Mercy Hospital Ozark CurrentSince Nov 1, 2016 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc CurrentSince Nov 6, 2016 Accepting new patients
Mercy Hospital Paris CurrentSince Nov 1, 2016 Accepting new patients
Mercy Hospital Booneville CurrentSince Jun 1, 2019 Accepting new patients
Mercy Hospital Waldron CurrentSince Nov 1, 2016 Accepting new patients
Mercy Hospital Paris CurrentSince Nov 1, 2016 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Nov 1, 2016 Accepting new patients
Mercy Hospital Ozark CurrentSince Nov 1, 2016 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Nov 1, 2016 Accepting new patients
Mercy Hospital Paris CurrentSince Nov 1, 2016 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Mercy Hospital Booneville CurrentSince Jun 1, 2019 Accepting new patients

Locations

7003 Chad Colley Blvd
Barling, AR 72923
Phone (479) 431-3493

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

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

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

2901 S 74th St
Fort Smith, AR 72903
Phone (479) 314-1101

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

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

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

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

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

Interoperability endpoints

  • Direct secure messaging: pmontiel773809@directc.mercy.net

Organizations & group practices 14

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 14

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": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1285053983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 CHAD COLLEY BLVD",
            "city": "BARLING",
            "state": "AR",
            "postal_code": "729233000",
            "telephone_number": "479-431-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 CHAD COLLEY BLVD",
            "city": "BARLING",
            "state": "AR",
            "postal_code": "729233000",
            "telephone_number": "479-431-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIEL",
        "first_name": "PATRICIO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-9971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218637001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barling, AR

Sources for this page

Verify at the official NPI Registry.