Individual provider Active NPI

Cesar Hurtado, M.D.

  • Family Medicine Physician
  • Rogers, AR
National Provider Identifier
1649632886
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-11309 Issued in AR
Practice address
2877 W Walnut St Ste 103
Rogers, AR 72756-0336
Phone
(479) 372-4030
Fax
(479) 372-4031
NPI assigned
Mar 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-11309 AR
Family Medicine Physician 207Q00000X E-11309 AR Primary

Addresses

Primary practice location

2877 W Walnut St Ste 103
Rogers, AR 72756-0336

Mailing address

2877 W Walnut St Ste 103
Rogers, AR 72756-0336
Phone (479) 372-4030

Other practice location 1

603 N Progress Ave
Siloam Springs, AR 72761-4352
Phone (479) 524-4141

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
I20190313000997 AR Practitioner - Family Practice 4789983321 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2877 W Walnut St
Suite 103
Rogers, AR 72756-0336
Phone (479) 372-4030

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-11309ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siloam Springs Clinic Company LLC Emergency Medicine CurrentSince Jan 27, 2019 Accepting new patients
Family Health & Wellness, PLLC Family Medicine CurrentSince Feb 1, 2023 Accepting new patients
Springdale- Bentonville HBP Services, LLC Emergency Medicine CurrentSince Apr 22, 2024 Accepting new patients
Ies HSP Arkansas PLLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Northwest Benton County Physician Services LLC Family Medicine CurrentSince Jan 27, 2019 Accepting new patients

Locations

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

2877 W Walnut St
Ste 103
Rogers, AR 72756
Phone (479) 372-4030

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

2158 Butterfield Coach Rd
Springdale, AR 72764
Phone (479) 463-7000

Interoperability endpoints

  • Direct secure messaging: cesar.hurtado.1@27320.direct.athenahealth.com

Organizations & group practices 5

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.

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": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1649632886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2877 W WALNUT ST STE 103",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727560336",
            "telephone_number": "479-372-4030",
            "fax_number": "479-372-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2877 W WALNUT ST STE 103",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727560336",
            "telephone_number": "479-372-4030",
            "fax_number": "479-372-4031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 N Progress Ave",
            "address_purpose": "LOCATION",
            "city": "Siloam Springs",
            "state": "AR",
            "postal_code": "727614352",
            "country_code": "US",
            "telephone_number": "479-524-4141",
            "fax_number": "479-549-2577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURTADO",
        "first_name": "CESAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-26",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-11309",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-11309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.