REX E LUTTRELL M.D. NPI 1477559680

NPI Information

  • NPI: 1477559680
  • Provider Name: REX E LUTTRELL, M.D.
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1300 BRADEN ST
    POD B
    JACKSONVILLE, AR
    ZIP 72076
  • Phone: (501) 978-4343

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NPI Details

Rex E Luttrell, M.D. is a surgery in Jacksonville, AR. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Rex E Luttrell, M.D. NPI is 1477559680. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1300 BRADEN ST
POD B
JACKSONVILLE, AR
ZIP 72076-719
Phone: (501) 978-4343
Fax: (501) 975-8995

The NPI 1477559680 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Other procedure on stomach (HCPCS:43999)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Single contrast x-ray of esophagus (HCPCS:74220)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Partial removal of stomach for weight loss using an endoscope (HCPCS:43775)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Colonoscopy (HCPCS:NAN13)
  • Hernia repair - groin (open) (HCPCS:NAN19)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 6/22/2005 and was last updated on 10/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryC-6721ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P01071366OTHERRRMEDICARE
217-20039OTHERARKANSASUNITED HEALTHCARE
3123268001MEDICAIDARKANSAS
416173000000OTHERARKANSASQUALCHOICE
5P00004959OTHERRAILROAD MEDICARE
65J069MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
75J096GA32MEDICARE PINARKANSAS
8F54652MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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