DR. PAYAL PATEL (MD) – Family Medicine Physician, NPI 1912385667

DR. PAYAL PATEL (MD) is a healthcare provider. based in Pine bluff, Arkansas. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. E10088 (AR). The NPI Number for DR. PAYAL PATEL (MD) is 1912385667

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAYAL PATEL (MD)
NPI
1912385667
Phone
(870) 541-6000
Address
4010 S Mulberry St
Enumeration Date
14 May 2015
Last Update Date
26 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4792294677
Graduation Year
2013 (13 years ago)
PAC ID
1456633502
Group Practice PAC ID
5698008019
Professional Enrollment ID
I20170125000178

Contacts

SOAP Endpoint
LITTLEROCK
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:11State licenses:2Other namesUpdated within 12 months

Provider Addresses for DR. PAYAL PATEL (MD)

  • 4010 S Mulberry St

    Pine Bluff, AR 716037000

    Phone: (870) 541-6000

    Type: Location

  • 24 Norris St

    Eureka Springs, AR 726323541

    Phone: (479) 253-7400

    Fax: (479) 253-7552

    Type: Location

  • 4 Hospital Dr

    Morrilton, AR 721104510

    Phone: (501) 977-2300

    Fax: (501) 977-2400

    Type: Location

  • 200 N 3rd St

    Dardanelle, AR 728343802

    Phone: (479) 229-4677

    Fax: (479) 229-6182

    Type: Location

  • 629 JACK STEPHENS DR

    LITTLE ROCK, AR 722055525

    Phone: (870) 541-6000

    Type: Mailing

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: 2017-01-25

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
I20170125000178IFamily PracticeARTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 71603)

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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: 5698008019View full group profile
NameSpecialtyState
Pediatric Medicine, Emergency MedicineAR
Internal MedicineMS
Hospitalist, Emergency Medicine, Internal MedicineNY
Emergency Medicine, Family PracticeAR
Family PracticeAR
Internal MedicineAR
Family Practice, Emergency MedicineAR
-AR
-OK
Emergency MedicineMI

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find DR. PAYAL PATEL (MD)'s NPI?
You can confirm DR. PAYAL PATEL (MD) with NPI 1912385667; it appears in the national provider directory.
Is DR. PAYAL PATEL (MD) currently active in the NPI registry?
CMS-published data lists DR. PAYAL PATEL (MD) as an active registrant.
Does DR. PAYAL PATEL (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. PAYAL PATEL (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. PAYAL PATEL (MD)?
We surface Pine Bluff, Arkansas for DR. PAYAL PATEL (MD) based on available NPPES addresses.
How can I contact DR. PAYAL PATEL (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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