Eddie Anthony Mengarelli, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

E-10354 Issued in AR

Practice address

3689 N Steele Blvd
Fayetteville, AR 72703

Phone

(479) 521-2555

Fax

(479) 521-6761

NPI assigned

May 9, 2013

Last updated

Apr 8, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Ophthalmology

Education

University of Arkansas College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McDonald Eye Services P.a.Group PAC ID 7719995117, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emengarelli23145@washingtonregional.direct-ci.com

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.

• McDonald Eye Services, PA

  dba McDonald Eye Associates

  • Ophthalmology Physician
  • Fayetteville, AR
  • NPI 1407850217
  Medicare reassignment Care Compare group NPD
• McDonald Eye Services, PA

  • Eyewear Supplier
  • Fayetteville, AR
  • NPI 1609990357

  Ophthalmology

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1609211234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3689 N STEELE BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035347",
            "telephone_number": "479-521-2555",
            "fax_number": "479-521-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3689 N STEELE BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "479-521-2555",
            "fax_number": "479-521-6761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3318 N Northhills Blvd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "72703",
            "country_code": "US",
            "telephone_number": "479-521-2555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENGARELLI",
        "first_name": "EDDIE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "E-10354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS MEDICAL LICENSE",
            "identifier": "E-10354",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Melton, PMHNP-BC
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• Ashley Nicole Mendez, PHARM.D.
• Mending Wings Developmental Services, Inc.
• Menm, LLC (Miracle-Ear)
• Lynette Menna, OTR/L
• Mental Health Matters, LLC
• Drew Leighanne Merchen, OTRL
• Janett Merlos

• Ophthalmology Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Ophthalmology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.

Verify at the official NPI Registry.