DR. MANSOOR ALAM MD
NPI 1174750962
Internal Medicine in Bentonville, AR

Active since June 18, 2009PECOS EnrolledAccepts Medicare Assignment
609 SW 8TH ST STE 640, BENTONVILLE, AR 72712(412) 512-1193(479) 250-1392 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Oct 21, 2021, Jul 12, 2017 (3 updates tracked since 2017).

About Dr. Mansoor Alam Md NPPES

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

DR. MANSOOR ALAM MD (NPI 1174750962) is an individual internal medicine provider in Bentonville, Arkansas, licensed in Arkansas (E-7076) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Southwestern Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1174750962
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MANSOOR ALAMCredential: MD
Location Address609 SW 8TH ST STE 640Bentonville, AR 72712-7886
Mailing Address609 Sw 8th St Ste 640Bentonville, AR 72712-7886 · (412) 512-1193 · Fax (479) 250-1392
Fax(479) 250-1392
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 18, 2009
Last NPPES UpdateFebruary 12, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
NPI 1174750962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in AR · E-7076 Licensed in NM · MD2009-0084
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License E7076 (AR)
609 SW 8TH ST STE 640, Bentonville, AR 72712

Accepted Insurance

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. Mansoor Alam Md 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 ID8325192354
PECOS Enrollment IDI20110718000182, I20250123000492
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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
489 services463 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
96 services94 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Southwestern Medical Center

Acute Care Hospitals · Lawton, OK
3/5 CMS rating
OwnershipProprietary
CMS Certification Number370097
Location5602 Southwest Lee BoulevardLawton, OK 73505 · Comanche County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72712 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
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
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

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

Internal Medicine
609 SW 8TH ST STE 640
BENTONVILLE, AR 72712

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 Mansoor Alam's NPI number?

The NPI number for Mansoor Alam is 1174750962. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Mansoor Alam located?

Mansoor Alam practices at 609 SW 8th St Ste 640, Bentonville, AR 72712. The listed phone number is (412) 512-1193.

What is Mansoor Alam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mansoor Alam enrolled in Medicare?

Yes. Mansoor Alam 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.

What insurance does Mansoor Alam accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Mansoor Alam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mansoor Alam affiliated with any hospitals?

According to CMS data, Mansoor Alam is affiliated with Southwestern Medical Center.

When was this NPI record last updated?

The NPPES record for Mansoor Alam was last updated on February 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.