Active NPI
Fred G Nagel Jr., M.D.
- Family Medicine Physician
- Maumelle, AR
National Provider Identifier
1922016674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C68072
- Practice address
- 1701 Club Manor Dr
Suite 2
Maumelle, AR 72113-7400 - Phone
- (501) 851-7400
- Fax
- (501) 851-4753
- NPI assigned
- Aug 4, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C68072 | AR | Primary |
Addresses
Primary practice location
1701 Club Manor Dr
Suite 2
Maumelle, AR 72113-7400
Mailing address
1701 Club Manor Dr
Suite 2
Maumelle, AR 72113-7400
Phone (501) 851-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113243001 | Medicaid | AR |
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 |
|---|---|---|---|---|
| I20100416000355 | AR | Practitioner - Family Practice | 5193726107 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 Club Manor Dr
Suite 2
Maumelle, AR 72113-7401
Phone (501) 851-7400
Hospital & facility affiliations
- Elite Home Health
- Baptist Health Home Health-LR
- Gentiva
- Baptist Health Medical Center-Little Rock
- Baptist Health Medical Center North Little Rock
- Baptist Health Medical Center- Conway
- Baptist Health Rehabilitation Institute
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C68072 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Family Medicine | Current | Accepting new patients |
| Arkansas Health Group | Family Medicine | Past | Accepting new patients |
Locations
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
1701 Club Manor Dr
Ste 2
North Little Rock, AR 72113
Phone (501) 202-4088
Interoperability endpoints
- fnagel2202@direct.baptist-healthar.org
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 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Little Rock, AR
- NPI 1134225451
-
- Rehabilitation Hospital
- Little Rock, AR
- NPI 1215967831
Inpatient rehabilitation facility
-
- Home Health Agency
- Little Rock, AR
- NPI 1447597182
-
- Community Based Hospice Care Agency
- Little Rock, AR
- NPI 1750382750
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330387200000",
"number": "1922016674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 CLUB MANOR DR",
"address_2": "SUITE 2",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721137400",
"telephone_number": "501-851-7400",
"fax_number": "501-851-4753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 CLUB MANOR DR",
"address_2": "SUITE 2",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721137400",
"telephone_number": "501-851-7400",
"fax_number": "501-851-4753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGEL",
"first_name": "FRED",
"middle_name": "G",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2012-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "C68072",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113243001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maumelle, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.