Individual provider Active NPI

Roger Alan Mason, M.D.

  • Surgery Physician
  • Warren, AR
National Provider Identifier
1508198201
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E-3485 Issued in AR
Practice address
614 N Martin St
Warren, AR 71671-1904
Phone
(870) 466-4400
Fax
(870) 466-4556
NPI assigned
Feb 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X E-3485 AR
Surgery Physician 208600000X E-3485 AR Primary

Addresses

Primary practice location

614 N Martin St
Warren, AR 71671-1904

Mailing address

614 N Martin St
Warren, AR 71671-1904
Phone (870) 466-4400

Other identifiers 1

IdentifierTypeStateIssuer
149615001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX, LA, OK4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040610001685 AR Practitioner - Addiction MedicinePractitioner - General PracticePractitioner - General SurgeryPractitioner - Vascular SurgeryPractitioner - Emergency Medicine 9032018551 Reassigns benefits to 4 organizations
I20110114000334 TX Practitioner - General SurgeryPractitioner - Vascular Surgery 9032018551 Reassigns benefits to 2 organizations
I20210405001221 LA Practitioner - Family Practice 9032018551 Reassigns benefits to 1 organization
I20220408000073 OK Practitioner - General SurgeryPractitioner - Emergency Medicine 9032018551 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Yale University School of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians
Castro County Hospital DistrictGroup PAC ID 3870404064, shared by 6 NPIs, 29 clinicians

Practice addresses (Care Compare)

1500 S Sunset Ave
Littlefield, TX 79339-4899
Phone (806) 385-6411

310 W Halsell St
Dimmitt, TX 79027-1846
Phone (806) 647-2191

400 Main St
Crossett, AR 71635-2963
Phone (870) 466-4400

501 N 14TH St
Perry, OK 73077-5021
Phone (580) 336-3541

614 N Martin St
Warren, AR 71671-1904

Hospital & facility affiliations

  • Plains Memorial Hospital Hospital, Dimmitt, TX, CCN 451350
  • Izard Regional Hospital LLC Hospital, Calico Rock, AR, CCN 041306
  • W J Mangold Memorial Hospital Hospital, Lockney, TX, CCN 451337
  • Lamb Healthcare Center Hospital, Littlefield, TX, CCN 450698

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Addiction Centers LLC General Practice CurrentSince Jul 28, 2020 Accepting new patients
Castro County Hospital District CurrentSince Aug 1, 2025 Accepting new patients
HCC of Warren LLC CurrentSince Dec 9, 2024 Accepting new patients
HCC of Warren Hospitalist LLC CurrentSince Dec 9, 2024 Accepting new patients
Newman Memorial Hospital, Inc CurrentSince Jun 3, 2024 Accepting new patients
Newman Memorial Hospital, Inc CurrentSince Jun 3, 2024 Accepting new patients
Castro County Hospital District CurrentSince Aug 1, 2025 Accepting new patients
Choctaw County City of Hugo Hospital Authority CurrentSince Jan 7, 2022 Accepting new patients
Healing Hands Addiction Centers LLC Past Accepting new patients
South Peninsula General Surgery LLC Past Accepting new patients
Healing Hands Addiction Centers LLC Past Accepting new patients

Locations

404 S Bradley St
Warren, AR 71671
Phone (870) 226-3731

614 N Martin St
Warren, AR 71671
Phone (870) 226-6580

1405 E Kirk St
Hugo, OK 74743
Phone (580) 317-9500

1405 E Kirk St
Ste B
Hugo, OK 74743
Phone (580) 326-6111

905 S Main St
Shattuck, OK 73858
Phone (580) 938-2551

310 W Halsell St
Dimmitt, TX 79027
Phone (806) 647-2191

Interoperability endpoints

  • Direct secure messaging: rmason510609@direct-ehr-ssmhc.com
  • Direct secure messaging: roger.mason.1@14285.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1508198201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 N MARTIN ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716711904",
            "telephone_number": "870-466-4400",
            "fax_number": "870-466-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 N MARTIN ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716711904",
            "telephone_number": "870-466-4400",
            "fax_number": "870-466-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "ROGER",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-04",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AR",
            "license": "E-3485",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-3485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149615001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, AR

Sources for this page

Verify at the official NPI Registry.