MAURO JOSE TAVERAS ALCANTARA M.D.
NPI 1558898064
Internal Medicine - Interventional Cardiology in Pine Bluff, AR

Q: What is Mauro Taveras Alcantara's NPI number?

The NPI number for Mauro Taveras Alcantara is 1558898064. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Q: What is Mauro Taveras Alcantara's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Active since May 15, 2017PECOS EnrolledAccepts Medicare Assignment

1609 W 40TH AVE STE 403, PINE BLUFF, AR 71603(870) 541-4285(870) 541-4290 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 18, 2024, Jun 25, 2020, Dec 18, 2017 and 1 more (4 updates tracked since 2017).

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About Mauro Jose Taveras Alcantara M.d. NPPES

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

MAURO JOSE TAVERAS ALCANTARA M.D. (NPI 1558898064) is an individual interventional cardiology provider in Pine Bluff, Arkansas, licensed in Arkansas (E-17813) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pine Bluff, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1558898064

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameMAURO JOSE TAVERAS ALCANTARACredential: M.D.

Location Address1609 W 40TH AVE STE 403Pine Bluff, AR 71603-6365

Mailing AddressPo Box 2650Pine Bluff, AR 71613-2650 · (870) 541-7211 · Fax (870) 541-4297

Phone(870) 541-4285

Fax(870) 541-4290

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 15, 2017

Last NPPES UpdateJune 18, 20244 updates tracked since enumeration

NPPES CertifiedJune 18, 2024

✔ NPI 1558898064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in AR · E-17813

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 036.152621 (IL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1609 W 40TH AVE STE 403, Pine Bluff, AR 71603

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Secondary Practice Location 1

Location 11601 W 40th Ave Ste 301Pine Bluff, AR 71603-6346 · Phone (870) 541-4285 · Fax (870) 541-4290

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 and accepts Medicare assignment

Mauro Jose Taveras Alcantara M.d. 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 ID4385065804

PECOS Enrollment IDI20240614001343

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 Mauro Taveras Alcantara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jefferson Hospital Assn, Inc.

Same address

Surgery

1609 W 40TH AVE, SUITE 403
Pine Bluff, AR 71603

Reassigned Medicare billing, Arkansas enrollment
Medicare enrollment name: Jefferson Hospital Association, Inc
106 clinicians in this Medicare group

NPI 1962753574 (870) 541-5981

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

Areas of Expertise CMS Part B claims 6

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.

355 services253 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.

64 services64 patients

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.

49 services32 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.

35 services35 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.

16 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71603 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 9

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

DR. CHARLES D MABRY M.D.

Surgery