Individual provider Active NPI

Thomas Mottl, DO

  • Family Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1750132700
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-19613 Issued in AR
Practice address
612 S 12TH St
Fort Smith, AR 72901-4702
Phone
(479) 785-2431
NPI assigned
Mar 28, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X E-19613 AR Primary

Addresses

Primary practice location

612 S 12TH St
Fort Smith, AR 72901-4702

Mailing address

4751 Spike Ridge TRL
Greenwood, AR 72936-6803

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
I20250822000453 AR Practitioner - Family Practice 6204378003 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Correct Care, Inc.Group PAC ID 8628980992, 96 clinicians
Ess of McGehee LLCGroup PAC ID 0749677516, 18 clinicians

Practice addresses (Care Compare)

451 W Locke St
Little River Mem Hosp
Ashdown, AR 71822-3325
Phone (870) 898-5011

900 S 3Rd St
MC Gehee, AR 71654-2562
Phone (870) 222-5600

Hospital & facility affiliations

  • McGehee Hospital Hospital, McGehee, AR, CCN 041308
  • Mena Regional Health System Hospital, Mena, AR, CCN 041334
  • Little River Memorial Hospital Hospital, Ashdown, AR, CCN 041320
  • Baptist Health Medical Center-Drew County Hospital, Monticello, AR, CCN 040051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-19613ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Correct Care, Inc. CurrentSince Nov 11, 2025 Accepting new patients
Ess of McGehee LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

960 Highway 71 N
De Queen, AR 71832
Phone (870) 642-6420

900 S 3rd St
McGehee, AR 71654
Phone (855) 498-6768

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

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 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": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1750132700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 SPIKE RIDGE TRL",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729366803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S 12TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014702",
            "telephone_number": "479-785-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTTL",
        "first_name": "THOMAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-28",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-19613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.