MEREDITH L MAHAN MD
NPI 1518908417
Pediatrics in Fayetteville, AR

Q: What is Meredith Mahan's NPI number?

The NPI number for Meredith Mahan is 1518908417. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Q: What is Meredith Mahan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Meredith Mahan was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 09, 2006PECOS Enrolled

3380 N FUTRALL DR STE 1, FAYETTEVILLE, AR 72703(479) 442-7322(479) 442-7379 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2024, Dec 29, 2021, Jun 18, 2018 (3 updates tracked since 2018).

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About Meredith L Mahan Md NPPES

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

MEREDITH L MAHAN MD (NPI 1518908417) is an individual pediatrics provider in Fayetteville, Arkansas, licensed in Arkansas (E-0299) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1518908417

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMEREDITH L MAHANCredential: MD

Location Address3380 N FUTRALL DR STE 1Fayetteville, AR 72703

Mailing AddressPo Box 1523Fayetteville, AR 72702-1523 · (479) 571-6038 · Fax (479) 582-0222

Phone(479) 442-7322

Fax(479) 442-7379

Sole ProprietorNo

Enumeration DateJune 9, 2006

Last NPPES UpdateAugust 22, 20243 updates tracked since enumeration

NPPES CertifiedAugust 22, 2024

✔ NPI 1518908417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AR · E-0299

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3380 N FUTRALL DR STE 1, Fayetteville, AR 72703

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Secondary Practice Location 1

Location 13383 N Mana Ct Ste 101Fayetteville, AR 72703-4965 · Phone (479) 443-3471 · Fax (479) 442-7379

Other Identifiers 2

Medicaid126198001AR

Other5J563AR · Ar Bc/bs

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meredith L Mahan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Meredith Mahan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Associates Of Northwest Arkansas PA

Same address

Pediatrics

3380 N FUTRALL DR STE 1
Fayetteville, AR 72703

Reassigned Medicare billing, Arkansas enrollment
125 clinicians in this Medicare group

NPI 1386695427 (479) 442-7322

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

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 20

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

LAUREEN L. BENAFIELD MD

Pediatrics