GREGG L MASSANELLI M.D. NPI 1538156492

NPI Information

  • NPI: 1538156492
  • Provider Name: GREGG L MASSANELLI, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2700 VINE ST
    EL DORADO, AR
    ZIP 71730
  • Phone: (870) 862-1144

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NPI Details

Gregg L Massanelli, M.D. is a specialist in El Dorado, AR with 33 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Gregg L Massanelli, M.D. NPI is 1538156492. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:1993

The provider's business location address is:

2700 VINE ST
EL DORADO, AR
ZIP 71730-700
Phone: (870) 862-1144
Fax: (870) 864-0782

The NPI 1538156492 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)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Injection into tendon or ligament (HCPCS:20550)
  • Incision of tendon covering of finger (HCPCS:26055)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Hip replacement (HCPCS:NAN09)
  • Knee replacement (HCPCS:NAN06)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

The enumeration date for this NPI number is 10/5/2005 and was last updated on 11/26/2008.

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
1174400000XSpecialistC8449ARKANSASYes

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
117802000000OTHERARKANSASQUALCHOICE
2G46457MEDICARE UPINARKANSAS
3132799001MEDICAIDARKANSAS
45K426MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
50424120002OTHERARKANSASDMEPOS
6200042894OTHERARKANSASUNITED /RAILROAD MEDICARE

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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