Individual provider Active NPI

Tyler Worth Troutman, M.D.

  • Hospitalist Physician
  • Berryville, AR
National Provider Identifier
1972921252
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
E-10429 Issued in AR
Practice address
214 Carter St
Berryville, AR 72616
Phone
(870) 423-5185
NPI assigned
Apr 3, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X E-10429 AR Primary

Addresses

Primary practice location

214 Carter St
Berryville, AR 72616

Mailing address

214 Carter St
Berryville, AR 72616-4303
Phone (870) 423-5185

Other practice location 1

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-2914

Other practice location 2

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-2914

Other practice location 3

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-2914

Other practice location 4

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-2914

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
I20170726001180 AR Practitioner - Internal Medicine 9133446271 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 338-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Jul 31, 2019 Accepting new patients
Mercy Hospital Berryville CurrentSince Jul 31, 2019 Accepting new patients
Mercy Health Northwest Arkansas Communities Hospitalist CurrentSince Jul 31, 2017 Accepting new patients
Mercy Clinic Springfield Communities Current Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jul 31, 2017 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jul 31, 2019 Accepting new patients
Mercy Hospital Rogers Past Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

207 Carter St
Berryville, AR 72616
Phone (870) 423-6661

214 Carter St
Berryville, AR 72616
Phone (870) 423-3355

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972921252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CARTER ST",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164303",
            "telephone_number": "870-423-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CARTER ST",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "72616",
            "telephone_number": "870-423-5185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 S Rife Medical Ln",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "72758",
            "country_code": "US",
            "telephone_number": "479-338-2914",
            "fax_number": "479-338-2383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2710 S Rife Medical Ln",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "72758",
            "country_code": "US",
            "telephone_number": "479-338-2914",
            "fax_number": "479-338-2383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2710 S Rife Medical Ln",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "72758",
            "country_code": "US",
            "telephone_number": "479-338-2914",
            "fax_number": "479-338-2383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2710 S Rife Medical Ln",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "72758",
            "country_code": "US",
            "telephone_number": "479-338-2914",
            "fax_number": "479-338-2383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROUTMAN",
        "first_name": "TYLER",
        "middle_name": "WORTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AR",
            "license": "E-10429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berryville, AR

Sources for this page

Verify at the official NPI Registry.