Individual provider Active NPI

James P Irwin, DO

  • Surgery Physician
  • Rogers, AR
National Provider Identifier
1356362040
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E6596 Issued in AR
Practice address
1001 S Horsebarn Rd
Rogers, AR 72758-8184
Phone
(479) 273-7700
Fax
(479) 464-7734
NPI assigned
Jul 21, 2006
Last updated
Feb 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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 E6596 AR Primary

Addresses

Primary practice location

1001 S Horsebarn Rd
Rogers, AR 72758-8184

Mailing address

1001 S Horsebarn Rd
Rogers, AR 72758-8184
Phone (479) 273-7700

Other identifiers 1

IdentifierTypeStateIssuer
1356362040MedicaidMO

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
I20110126000649 AR Practitioner - General Surgery 5890799571 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Oklahoma State University College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Northwest Arkansas CommunitiesGroup PAC ID 0648177873, shared by 5 NPIs, 314 clinicians

Practice addresses (Care Compare)

1001 S Horsebarn Rd
Rogers, AR 72758-8184
Phone (479) 273-7700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)29
Upper gastrointestinal (GI) endoscopy for acid reflux13
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E6596ARMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities Surgery CurrentSince Dec 29, 2015 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Mar 3, 2014 Accepting new patients
Mercy Health Northwest Arkansas Communities Surgery CurrentSince Mar 3, 2014 Accepting new patients
Mercy Clinic Springfield Communities Current Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Mar 3, 2014 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Dec 29, 2015 Accepting new patients
Southern Texas Physicians Network Inc Past Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

211 Carter St
Berryville, AR 72616
Phone (417) 869-3200

214 Carter St
Berryville, AR 72616
Phone (870) 423-3355

1001 S Horsebarn Rd
Rogers, AR 72758
Phone (479) 273-7700

2708 S Rife Medical Ln
Ste T30
Rogers, AR 72758
Phone (479) 338-3999

Interoperability endpoints

  • Direct secure messaging: jirwin392306@directc.mercy.net

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1356362040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S HORSEBARN RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588184",
            "telephone_number": "479-273-7700",
            "fax_number": "479-464-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S HORSEBARN RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588184",
            "telephone_number": "479-273-7700",
            "fax_number": "479-464-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E6596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356362040",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.