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ANDRES DAVID PIRELA ARAQUE MD
NPI 1316432024
Internal Medicine - Nephrology in Fort Smith, AR

Active since June 25, 2018PECOS EnrolledAccepts Medicare Assignment
96.36/100
CMS Quality Rating
7303 ROGERS AVE STE 200, FORT SMITH, AR 72903(479) 274-4300 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Apr 22, 2021, Jun 25, 2018 (2 updates tracked since 2018).

About Andres David Pirela Araque Md NPPES

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

ANDRES DAVID PIRELA ARAQUE MD (NPI 1316432024) is an individual nephrology provider in Fort Smith, Arkansas, licensed in Arkansas (E-17124) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Smith, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1316432024
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameANDRES DAVID PIRELA ARAQUECredential: MD
Location Address7303 ROGERS AVE STE 200Fort Smith, AR 72903-4112
Mailing Address7303 Rogers Ave Ste 200Fort Smith, AR 72903-4112 · (479) 274-4300
Phone(479) 274-4300
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 25, 2018
Last NPPES UpdateSeptember 15, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2023
✔ NPI 1316432024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in AR · E-17124
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
7303 ROGERS AVE STE 200, Fort Smith, AR 72903
Open in Google Maps ↗

Secondary Practice Location 1

Location 17301 Rogers AveFort Smith, AR 72903-4100 · Phone (479) 314-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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

Andres David Pirela Araque 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 ID3779991443
PECOS Enrollment IDI20230929002863
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
209 services78 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.
168 services70 patients
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.
86 services82 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.
79 services56 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.
34 services16 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
31 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72903 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.23
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

MICHAEL BRANDON RICE APRN-CNP
Nurse Practitioner (Acute Care)
7303 ROGERS AVE STE 200
FORT SMITH, AR 72903
Sebastian County (479) 274-4300
DR. MUHAMMAD ZIAD SOUQIYYEH M.D.
Internal Medicine (Nephrology)
7303 ROGERS AVE STE 200
FORT SMITH, AR 72903
Sebastian County (479) 274-4300
DR. SRINATH TRIPURANENI MD
Internal Medicine
7303 ROGERS AVE STE 200
FORT SMITH, AR 72903
Sebastian County (479) 274-4300

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 Andres Pirela Araque's NPI number?

The NPI number for Andres Pirela Araque is 1316432024. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Andres Pirela Araque located?

Andres Pirela Araque practices at 7303 Rogers Ave Ste 200, Fort Smith, AR 72903. The listed phone number is (479) 274-4300.

What is Andres Pirela Araque's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Andres Pirela Araque enrolled in Medicare?

Yes. Andres Pirela Araque 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 Andres Pirela Araque 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 Andres Pirela Araque 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.

When was this NPI record last updated?

The NPPES record for Andres Pirela Araque was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.