Individual provider Active NPI

Philip W Pitts, M.D.

  • Internal Medicine Physician
  • Rogers, AR
National Provider Identifier
1326047341
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E-17303 Issued in AR
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

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110235123OtherRAILROAD MEDICARE PIN
J2901OtherTXTX 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100120000564 TX Practitioner - Internal Medicine 6305749128

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.5 of 100Reported as apm
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

LicenseStateTypeSpecialty
E-17303ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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. PastSince May 1, 2002 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.