DR. SAMUEL SELASIE MORTOTI MBCHB
NPI 1154588762
Internal Medicine - Cardiovascular Disease in Newport, AR

Active since May 21, 2008PECOS EnrolledAccepts Medicare Assignment
2000 MCLAIN ST, SUITE H, NEWPORT, AR 72112(870) 523-2404 Get Directions Write a Review

NPPES record last updated: August 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samuel Selasie Mortoti Mbchb NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL SELASIE MORTOTI MBCHB (NPI 1154588762) is an individual cardiovascular disease provider in Newport, Arkansas, licensed in Arkansas (E-7981) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1154588762
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SAMUEL SELASIE MORTOTICredential: MBCHB
Location Address2000 MCLAIN ST, SUITE HNewport, AR 72112-3661
Mailing Address5412 Deerfield DrJonesboro, AR 72404-8467 · (202) 290-4161
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 21, 2008
Last NPPES UpdateAugust 1, 2013
NPI 1154588762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in AR · E-7981
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2000 MCLAIN ST, Newport, AR 72112

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Samuel Selasie Mortoti Mbchb is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264674076
PECOS Enrollment IDI20181022002185
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 28

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,120 services982 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
409 services284 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
389 services385 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
230 services119 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
143 services143 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
136 services135 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Graham Hospital Association

Acute Care Hospitals · Canton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140001
Location210 West Walnut StreetCanton, IL 61520 · Fulton County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
2000 MCLAIN ST, SUITE G
NEWPORT, AR 72112
Obstetrics & Gynecology
2000 MCLAIN ST
NEWPORT, AR 72112
Nurse Practitioner (Family)
2000 MCLAIN ST
NEWPORT, AR 72112
Family Medicine
2000 MCLAIN ST, SUITE 2B
NEWPORT, AR 72112
Family Medicine
2000 MCLAIN ST
NEWPORT, AR 72112
Durable Medical Equipment & Medical Supplies
2000 MCLAIN ST
NEWPORT, AR 72112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Selasie Mortoti's NPI number?

The NPI number for Samuel Selasie Mortoti is 1154588762. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Samuel Selasie Mortoti located?

Samuel Selasie Mortoti practices at 2000 Mclain St Suite H, Newport, AR 72112. The listed phone number is (870) 523-2404.

What is Samuel Selasie Mortoti's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Samuel Selasie Mortoti enrolled in Medicare?

Yes. Samuel Selasie Mortoti is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Samuel Selasie Mortoti affiliated with any hospitals?

According to CMS data, Samuel Selasie Mortoti is affiliated with Graham Hospital Association, St Mary Medical Center, Saint Francis Medical Center and Osf Saint Elizabeth Mdl Ctr.

When was this NPI record last updated?

The NPPES record for Samuel Selasie Mortoti was last updated on August 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.