Individual provider Active NPI

Kenneth G Gati, M.D.

  • Specialist
  • El Dorado, AR
National Provider Identifier
1831186709
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E2039 Issued in AR
Practice address
2700 Vine St
El Dorado, AR 71730-6700
Phone
(870) 862-1144
Fax
(870) 864-0782
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X E2039 AR Primary

Addresses

Primary practice location

2700 Vine St
El Dorado, AR 71730-6700

Mailing address

PO Box 10730
El Dorado, AR 71730-0028
Phone (870) 862-1144

Other identifiers 4

IdentifierTypeStateIssuer
139668001MedicaidAR
0424120002OtherARDMEPOS
200038438OtherARUNITED /RAILROAD MEDICARE
18697000000OtherARQUALCHOICE

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
I20080213000752 AR Practitioner - Orthopedic Surgery 7517040959 Practice locations: El Dorado, AR

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in New Orleans, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2700 Vine St
El Dorado, AR 71730-6700
Phone (870) 862-1144

Hospital & facility affiliations

  • South Arkansas Regional Hospital LLC Hospital, El Dorado, AR, CCN 040088
  • Magnolia Regional Medical Center Hospital, Magnolia, AR, CCN 041336
  • Magnolia Regional Medical Center Hospital, Magnolia, AR, CCN 040067

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement18
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E2039ARMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
South Arkansas Orthopaedics and Sports Medicine Center PLLC Specialist PastSince Aug 1, 2000 Accepting new patients
The El Dorado Ar Multispecialty ASC LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kgati@southarkortho.emadirect.md

Organizations & group practices 2

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 2

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1831186709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10730",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717300028",
            "telephone_number": "870-862-1144",
            "fax_number": "870-864-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 VINE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306700",
            "telephone_number": "870-862-1144",
            "fax_number": "870-864-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATI",
        "first_name": "KENNETH",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "E2039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139668001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS",
            "identifier": "0424120002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED /RAILROAD MEDICARE",
            "identifier": "200038438",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "18697000000",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.