Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ryan David Mantooth, MD

Individual provider Emergency Medicine Physician · NPI 1114450822

Ryan David Mantooth, MD practises Emergency Medicine in Fayetteville, Arkansas. Graduated from University of Arkansas College of Medicine in 2017, 9 years ago. Practices with Washington Regional Medical System, a 240-clinician group and accepts Medicare assignment. Licensed in Alabama and Arkansas.

Years since qualifying
9
Trained at
University of Arkansas College of Medicine
Licensed in
AL, AR
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3215 N North Hills Blvd
Fayetteville, AR 72703
Phone: (479) 463-7102
Fax: (479) 463-5987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence E-13154 (AR)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD.37708 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114450822
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2017
Last updated in NPPESApril 9, 2021
Certification dateApril 9, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Washington Regional Medical System — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients441
Services billed 514 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Washington Regional Medical System

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 240 clinicians in the practice; 12 are shown here.

Other providers in Fayetteville