Active NPI
Kenneth G Gati, M.D.
- Specialist
- El Dorado, AR
National Provider Identifier
1831186709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- E2039
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139668001 | Medicaid | AR | |
| 0424120002 | Other | AR | DMEPOS |
| 200038438 | Other | AR | UNITED /RAILROAD MEDICARE |
| 18697000000 | Other | AR | QUALCHOICE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Magnolia Regional Medical Center
- Magnolia Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 18 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| E2039 | AR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Arkansas Orthopaedics and Sports Medicine Center PLLC | Specialist | Past | Accepting new patients |
| The El Dorado Ar Multispecialty ASC LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Specialist
- El Dorado, AR
- NPI 1407845951
-
- Ambulatory Surgical Clinic/Center
- El Dorado, AR
- NPI 1619037066
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- El Dorado, AR
- NPI 1780375592
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.