DR. MANSOOR ALAM (MD) – Internal Medicine Physician, NPI 1174750962

DR. MANSOOR ALAM (MD) is a healthcare provider. based in Bentonville, Arkansas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. E7076 (AR). The NPI Number for DR. MANSOOR ALAM (MD) is 1174750962

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. MANSOOR ALAM (MD)
NPI
1174750962
Phone
(412) 512-1193
Address
609 SW 8TH ST STE 640
Enumeration Date
18 June 2009
Last Update Date
12 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4797096700
Graduation Year
1997 (29 years ago)
PAC ID
8325192354
Group Practice PAC ID
3870668510
Professional Enrollment ID
I20110718000182
Address ID
AR729036254FO3501XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:16State licenses:3Digital endpointsOther names

1,274 INTERNAL MEDICINE in AR

Provider Addresses for DR. MANSOOR ALAM (MD)

  • 609 SW 8TH ST STE 640

    BENTONVILLE, AR 727127886

    Phone: (412) 512-1193

    Fax: (479) 250-1392

    Type: Mailing

  • Rife Medical Lane, Rogers, Benton County, Arkansas, 72758, United States

    ROGERS, AR 727581452

    Phone: (479) 338-8000

    Fax: (479) 338-2383

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2024-09-16 • Largest payer in this snapshot: PFIZER INC. ($45).

Total Amount

$130

General + Research + Ownership

Payments

6

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110718000182IInternal MedicineARTBD
I20250123000492IInternal MedicineOKTBD

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 minutes297292$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes149145$0
99291Critical care, first 30-74 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 72712)

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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: 3870668510View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YAR
Family PracticeAR
-AR
Family PracticeIL
Nurse PractitionerAR
Nurse PractitionerAR
-OK
G A S T R O E N T E R O L O G YAR
Nurse PractitionerAR
O B S T E T R I C S/ G Y N E C O L O G YAR

Reviews

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Frequently asked questions

How is DR. MANSOOR ALAM (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. MANSOOR ALAM (MD) with NPI 1174750962.
Does CMS list DR. MANSOOR ALAM (MD) as active?
Yes — DR. MANSOOR ALAM (MD) is active in the NPI listing used on this page.
What is DR. MANSOOR ALAM (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for DR. MANSOOR ALAM (MD) here. Clinical services aligned with this taxonomy classification.
Where is DR. MANSOOR ALAM (MD) based?
DR. MANSOOR ALAM (MD) is tied to Bentonville, Arkansas in the data we show; additional addresses may exist on the full record.
Is the information about DR. MANSOOR ALAM (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."