NPIMap

Individual provider Active NPI

Navin Mangroo, DO

  • Family Medicine Physician
  • Pocahontas, AR
National Provider Identifier
1457748683
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-11187 Issued in AR
Practice address
1016 McQuay Ave
Pocahontas, AR 72455
Phone
(870) 892-9949
Fax
(870) 892-0208
NPI assigned
Apr 26, 2015
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X E-11187 AR Primary

Addresses

Primary practice location

1016 McQuay Ave
Pocahontas, AR 72455

Mailing address

PO Box 83
Corning, AR 72422-0083
Phone (870) 857-3334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180730003465 AR Practitioner - Family PracticePractitioner - Hospitalist 7113233644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
William Carey University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
1St Choice Healthcare IncGroup PAC ID 0648184218, 36 clinicians

Practice addresses (Care Compare)

1111 Windover Rd
Jonesboro, AR 72401-6159
Phone (870) 935-5432

201 Colonial Dr
Walnut Ridge, AR 72476-1410
Phone (870) 886-5507

3001 Apache Dr
Suite B
Jonesboro, AR 72401-7447
Phone (870) 936-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-11187ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
1St Choice Healthcare Inc CurrentSince Aug 12, 2019 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Multi-Specialty CurrentSince Jul 30, 2018 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Multi-Specialty CurrentSince Jul 30, 2018 Accepting new patients
1St Choice Healthcare Inc CurrentSince Aug 12, 2019 Accepting new patients
1St Choice Healthcare Inc Multi-Specialty Current Accepting new patients
1St Choice Healthcare Inc Past Accepting new patients
Ozarks Medical Center Multi-Specialty Past Accepting new patients

Locations

308 Highway 62 W
Ash Flat, AR 72513
Phone (870) 955-5058

1300 Creason Rd
Corning, AR 72422
Phone (870) 857-3399

2178 Highway 62 412
Highland, AR 72542
Phone (870) 994-2202

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

1 Medical Dr
Ste 100
Paragould, AR 72450
Phone (870) 236-2000

1016 McQuay Ave
Pocahontas, AR 72455
Phone (870) 892-9949

141 Betty Dr
Pocahontas, AR 72455
Phone (870) 892-9949

172 Highway 62 W
Salem, AR 72576
Phone (870) 895-2735

201 Colonial Dr
Walnut Ridge, AR 72476
Phone (870) 886-5507

Interoperability endpoints

  • Direct secure messaging: navin.mangroo@1st.eclinicaldirectplus.com

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 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": "1430006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1457748683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "CORNING",
            "state": "AR",
            "postal_code": "724220083",
            "telephone_number": "870-857-3334",
            "fax_number": "870-857-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 MCQUAY AVE",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "72455",
            "telephone_number": "870-892-9949",
            "fax_number": "870-892-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGROO",
        "first_name": "NAVIN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-26",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-11187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocahontas, AR

Sources for this page

Verify at the official NPI Registry.