Active NPI
Philip W Pitts, M.D.
- Internal Medicine Physician
- Rogers, AR
National Provider Identifier
1326047341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E-17303
- Practice address
- 2000 S 42ND St Ste 100
Rogers, AR 72758-2001 - Phone
- (479) 273-9173
- Fax
- (479) 464-9989
- NPI assigned
- Jul 20, 2005
- Reactivated
- Mar 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E-17303 | AR | Primary |
Addresses
Primary practice location
2000 S 42ND St Ste 100
Rogers, AR 72758-2001
Mailing address
2000 S 42ND St Ste 100
Rogers, AR 72758-2001
Phone (479) 273-9173
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110235123 | Other | RAILROAD MEDICARE PIN | |
| J2901 | Other | TX | TX LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100120000564 | TX | Practitioner - Internal Medicine | 6305749128 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.5 of 100
- Quality
- 69.34
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-17303 | AR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherman Grayson Hospital LLC | Current | Accepting new patients | |
| Physicians and Allied Health Professionals Group, PA | Internal Medicine | Past | Accepting new patients |
| Cornerstone Services PC | Internal Medicine | Past | Accepting new patients |
| North Texas Precision Pain Care, P.a. | Past | Accepting new patients |
Interoperability endpoints
- philippitts@wnjrmc.allscriptsdirect.net
Organizations & group practices 4
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.
-
dba Wilson N. Jones Regional Medical Center
- General Acute Care Hospital
- Sherman, TX
- NPI 1013957836
-
- Internal Medicine Physician
- Sherman, TX
- NPI 1922103399
-
- Interventional Pain Medicine Physician
- Frisco, TX
- NPI 1417127416
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1326047341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 S 42ND ST STE 100",
"city": "ROGERS",
"state": "AR",
"postal_code": "727582001",
"telephone_number": "479-273-9173",
"fax_number": "479-464-9989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 S 42ND ST STE 100",
"city": "ROGERS",
"state": "AR",
"postal_code": "727582001",
"telephone_number": "479-273-9173",
"fax_number": "479-464-9989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTS",
"first_name": "PHILIP",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"deactivation_date": "2006-03-20",
"reactivation_date": "2006-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-17303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "110235123",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX LICENSE #",
"identifier": "J2901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
- Pinnacle Women's Health and Therapy, LLC.
- Pinnacle Womens Healthcare, LLC
- Joana C Pinto
- Claude Joseph Pirtle, MD
- Christopher Lacye Pittman, M.D.
- Planned Parenthood of Arkansas and Eastern Oklahoma, Inc
- Plastic Surgery and Hand Center of Nwa, PLC
- Michael Platt, M.D.
- Phillip Michael Platt, DDS
- Martina Platte
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.