DR. HEATH TYSON MITCHELL (MD) – Internal Medicine Physician, NPI 1053872176

DR. HEATH TYSON MITCHELL (MD) is a healthcare provider. based in North little rock, Arkansas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. E-15694 (AR). The NPI Number for DR. HEATH TYSON MITCHELL (MD) is 1053872176

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. HEATH TYSON MITCHELL (MD)
NPI
1053872176
Phone
(479) 418-3488
Address
6505 COUNTRYWOOD CV
Enumeration Date
29 March 2019
Last Update Date
26 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5018517402
Graduation Year
2020 (6 years ago)
PAC ID
7719212281
Group Practice PAC ID
7911802079
Professional Enrollment ID
I20220829003782
Address ID
AR721137401MA1701XDRXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,274 INTERNAL MEDICINE in AR

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Provider Addresses for DR. HEATH TYSON MITCHELL (MD)

  • 6505 COUNTRYWOOD CV

    NORTH LITTLE ROCK, AR 721163745

    Phone: (479) 418-3488

    Type: Mailing

  • 634, West Markham Street, Little Rock, Pulaski County, Arkansas, 72201, United States

    LITTLE ROCK, AR 722057101

    Phone: (501) 686-5162

    Type: Location

  • 11001 EXECUTIVE CENTER DR STE 200

    LITTLE ROCK, AR 722114393

    Phone: (501) 851-7402

    Fax: (501) 851-4753

    Type: Mailing

  • 1001 SCHNEIDER DR

    MALVERN, AR 721044811

    Phone: (501) 851-7402

    Fax: (501) 851-4753

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220829003782IInternal MedicineARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9786$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8560$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6642$0
99239Hospital discharge day management, more than 30 minutes6357$0
99236Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 72116)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911802079View full group profile
NameSpecialtyState
-AR
-AR
-AR
Diagnostic Radiology, Interventional RadiologyAR
-AR
-AR
-AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR

Reviews

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Frequently asked questions

Is DR. HEATH TYSON MITCHELL (MD) listed with a National Provider Identifier?
Yes — DR. HEATH TYSON MITCHELL (MD) has NPI 1053872176 on file in the registry.
Is there an active status for DR. HEATH TYSON MITCHELL (MD)?
For scheduling context, DR. HEATH TYSON MITCHELL (MD) is shown as active in the registry.
What expertise is attributed to DR. HEATH TYSON MITCHELL (MD)?
DR. HEATH TYSON MITCHELL (MD)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. HEATH TYSON MITCHELL (MD) located near North Little Rock?
DR. HEATH TYSON MITCHELL (MD) currently maps to North Little Rock, Arkansas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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