Active NPI
Michael Adolph Oltmann, MD
- Internal Medicine Physician
- Stuttgart, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- LL28005
- Practice address
- 1609 N Medical Dr
Stuttgart, AR 72160-3274 - Phone
- (870) 673-7211
- Fax
- (870) 672-6823
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Stuttgart, AR
- NPI 1861518698
AR, Family Medicine
-
- Rural Health Clinic/Center
- Brinkley, AR
- NPI 1659579118
-
- Internal Medicine Physician
- Charleston, SC
- NPI 1215043872
Internal Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- White Hall, AR
- NPI 1891972642
-
- Home Health Agency
- Waldron, AR
- NPI 1235589250
-
- Home Health Agency
- Forrest City, AR
- NPI 1356793467
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Arkansas College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stuttgart Medical Clinic, LTD
Practice addresses (Care Compare)
1609 N Medical Dr
Stuttgart, AR 72160-3274
Phone (870) 673-7395
Hospital & facility affiliations
- Centerwell Home Health
- Jefferson Homecare
- Baptist Health Medical Center-Stuttgart
- Baptist Health Medical Center-Stuttgart
- Baptist Health Medical Center North Little Rock
- Baptist Health Medical Center-Little Rock
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 |
|---|---|---|---|---|
| I20110328000404 | AR | Practitioner - Internal Medicine | 2567518210 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E6212 | AR | MD | Family Medicine Physician |
| LL28005 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Prairie Medical Group, PLLC | Current | Accepting new patients | |
| Stuttgart Medical Clinic, LTD | Family Medicine | Current | Accepting new patients |
| Coastal Inpatient Physicians, LLC | Internal Medicine | Past | Accepting new patients |
| Baptist Health Hospitals | Past | Accepting new patients |
Locations
110 N New York Ave
Brinkley, AR 72021
Phone (501) 734-4405
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
1012 E 22nd St
Stuttgart, AR 72160
Phone (870) 672-0911
1609 N Medical Dr
Stuttgart, AR 72160
Phone (501) 673-7211
Interoperability endpoints
- moltmann5358@direct.baptist-healthar.org
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LL28005 | SC | Primary |
| Family Medicine Physician | 207Q00000X | E6212 | AR |
Addresses
NPPES NPI RegistryPrimary practice location
1609 N Medical Dr
Stuttgart, AR 72160-3274
Mailing address
PO Box 1901
Stuttgart, AR 72160-1901
Phone (870) 673-7211
Other identifiers 10
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100907002 | Medicaid | AR | |
| 201481729 | Medicaid | AR | |
| 2010478729 | Medicaid | AR | |
| 129735729 | Medicaid | AR | |
| 201479729 | Medicaid | AR | |
| 201482729 | Medicaid | AR | |
| 129734729 | Medicaid | AR | |
| 201477729 | Medicaid | AR | |
| 100904105 | Medicaid | AR | |
| 136428729 | Medicaid | AR |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 13, 2014.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1871676403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1901",
"city": "STUTTGART",
"state": "AR",
"postal_code": "721601901",
"telephone_number": "870-673-7211",
"fax_number": "870-672-6823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 N MEDICAL DR",
"city": "STUTTGART",
"state": "AR",
"postal_code": "721603274",
"telephone_number": "870-673-7211",
"fax_number": "870-672-6823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLTMANN",
"first_name": "MICHAEL",
"middle_name": "ADOLPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "LL28005",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E6212",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100907002",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201481729",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2010478729",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129735729",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201479729",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201482729",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129734729",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201477729",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100904105",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136428729",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stuttgart, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.