Active NPI
Thomas Mottl, DO
- Family Medicine Physician
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-19613
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Mena Regional Health System
- Little River Memorial Hospital
- Baptist Health Medical Center-Drew County
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-19613 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Correct Care, Inc. | Current | Accepting new patients | |
| Ess of McGehee LLC | Current | 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.
-
- Emergency Medicine Physician
- MC Gehee, AR
- NPI 1639822653
-
- Emergency Medicine Physician
- Monticello, AR
- NPI 1184010753
-
- Body Imaging Physician
- De Queen, AR
- NPI 1265114797
-
- Critical Access Hospital
- De Queen, AR
- NPI 1386367506
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monticello, AR
- NPI 1962283192
-
- Critical Access Hospital
- Ashdown, AR
- NPI 1326040007
-
- Critical Access Hospital
- MC Gehee, AR
- NPI 1770802217
-
- Critical Access Hospital
- Mena, AR
- NPI 1861449639
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.