Individual provider Active NPI

Kent Peter Nachtigal, M.D.

  • Surgery Physician
  • Mountain Home, AR
National Provider Identifier
1285640003
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
N7033 Issued in AR
Practice address
901 Burnett Dr
Mountain Home, AR 72653-2908
Phone
(870) 425-9120
Fax
(870) 424-4470
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X N7033 AR Primary

Addresses

Primary practice location

901 Burnett Dr
Mountain Home, AR 72653-2908

Mailing address

901 Burnett Dr
Mountain Home, AR 72653-2908
Phone (870) 425-9120

Other identifiers 1

IdentifierTypeStateIssuer
112275001MedicaidAR

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
I20100819001266 AR Practitioner - General Surgery 3375531882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Sanford School of Medicine of University of South Dakota, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baxter County Regional Hospital IncGroup PAC ID 0042389264, 75 clinicians

Practice addresses (Care Compare)

624 Hospital Dr
Mountain Home, AR 72653-2955
Phone (870) 508-1000

Hospital & facility affiliations

  • Baxter Health Hospital, Mountain Home, AR, CCN 040027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N7033ARMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter County Regional Hospital, Inc CurrentSince Nov 8, 2021 Accepting new patients
Baxter County Regional Hospital Inc CurrentSince Nov 8, 2021 Accepting new patients
John Patton Black,MD Past Accepting new patients
Baxter County Regional Hospital Inc Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

901 Burnett Dr
Mountain Home, AR 72653
Phone (870) 425-9120

628 Hospital Dr
#E1
Mountain Home, AR 72653
Phone (870) 425-3291

628 Hospital Dr
Ste E1
Mountain Home, AR 72653
Phone (870) 425-3291

Interoperability endpoints

  • Direct secure messaging: kent.nachtigal@bhcawp.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1285640003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BURNETT DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532908",
            "telephone_number": "870-425-9120",
            "fax_number": "870-424-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BURNETT DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532908",
            "telephone_number": "870-425-9120",
            "fax_number": "870-424-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACHTIGAL",
        "first_name": "KENT",
        "middle_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "N7033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112275001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.