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ADULT MEDICINE CLINIC OF BLYTHEVILLE, P.C.
NPI 1528017761
Internal Medicine in Blytheville, AR

Active since May 06, 2006CLIA 04D1053557 · Waiver
519 N 6TH ST, BLYTHEVILLE, AR 72315(870) 762-5800(870) 762-5801 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Adult Medicine Clinic Of Blytheville, P.c. NPPES

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

ADULT MEDICINE CLINIC OF BLYTHEVILLE, P.C. (NPI 1528017761) is a healthcare organization registered as an internal medicine in Blytheville, Arkansas and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Shalender Mittal, President, as its authorized official.

NPPES Registry Identity

NPI1528017761
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameADULT MEDICINE CLINIC OF BLYTHEVILLE, P.C.
Location Address519 N 6TH STBlytheville, AR 72315-2407
Mailing AddressPo Box 405Blytheville, AR 72316-0405 · (870) 762-5800 · Fax (870) 762-5801
Phone(870) 762-5800
Fax(870) 762-5801
Organization SubpartNo
Authorized OfficialShalender MittalPresident · (870) 762-5800
Enumeration DateMay 6, 2006
Last NPPES UpdateApril 11, 2022
NPPES CertifiedApril 11, 2022
✔ NPI 1528017761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AR · E2710
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.
519 N 6TH ST, Blytheville, AR 72315
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Other Identifiers 6

Other9360340AR · Phcs
OtherP00326909AR · Railroad Medicare
OtherDE9450AR · Railroad Medicare
Medicaid141358001AR
Other19103000000AR · Qualchoice
Medicaid161250002AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D1053557

Adult Medicine Clinic Of Blytheville · Blytheville, AR
Active · expires Apr 26, 2028
CLIA Number04D1053557
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorShalender Mittal
Laboratory Phone(870) 762-5800
Laboratory LocationAdult Medicine Clinic Of Blytheville519 North 6th Street, Blytheville, AR 72315
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SHALENDER MITTAL M.D.
Internal Medicine
519 N 6TH ST
BLYTHEVILLE, AR 72315
Mississippi County (870) 762-5800

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 Adult Medicine Clinic Of Blytheville, P.C.'s NPI number?

The NPI number for Adult Medicine Clinic Of Blytheville, P.C. is 1528017761. It was assigned to this organization in the NPPES registry on May 6, 2006.

Where is Adult Medicine Clinic Of Blytheville, P.C. located?

Adult Medicine Clinic Of Blytheville, P.C. is located at 519 N 6th St, Blytheville, AR 72315. The listed phone number is (870) 762-5800.

What is Adult Medicine Clinic Of Blytheville, P.C.'s specialty?

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

Does Adult Medicine Clinic Of Blytheville, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D1053557) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Adult Medicine Clinic Of Blytheville, P.C. 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 2 other insurers list Adult Medicine Clinic Of Blytheville, P.C. 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 Adult Medicine Clinic Of Blytheville, P.C. was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.