NPIMap

Individual provider Active NPI

Matthew M. Haustein, MD

  • Cardiovascular Disease Physician
  • Jonesboro, AR
National Provider Identifier
1154545309
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
E-4921 Issued in AR
Practice address
4802 E Johnson Ave
Jonesboro, AR 72401-8413
Phone
(870) 936-8000
Fax
(870) 934-3630
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X E-4921 AR Primary

Addresses

Primary practice location

4802 E Johnson Ave
Jonesboro, AR 72401-8413

Mailing address

PO Box 1960
Jonesboro, AR 72403-1960
Phone (870) 936-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110725000230 AR Practitioner - Cardiovascular Disease (Cardiology) 0446428122 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Arkansas College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Arkansas Clinic Charitable Foundation, Inc.Group PAC ID 2961547526, 294 clinicians

Practice addresses (Care Compare)

1111 Windover Rd
Jonesboro, AR 72401-6159
Phone (870) 935-5432

1500 McLain St
Newport, AR 72112-3638
Phone (870) 523-9337

2205 W Parker Rd
Jonesboro, AR 72404-7778
Phone (870) 933-9250

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-8000

4802 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-8000

4808 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-8000

Hospital & facility affiliations

  • Baptist Memorial Hospital Jonesboro, Inc. Hospital, Jonesboro, AR, CCN 040118
  • Baptist Memorial Hospital-Crittenden, Inc Hospital, West Memphis, AR, CCN 040156
  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
  • Arkansas Methodist Medical Center Hospital, Paragould, AR, CCN 040039
  • White River Medical Center Hospital, Batesville, AR, CCN 040119

Merit-based Incentive Payment System (MIPS)

Final score
75.65 of 100Reported as group
Quality
44.87
Promoting interoperability
100
Improvement activities
40
Cost
73.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting68
Pacemaker insertion or repair38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-4921ARMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Hospital Inc. CurrentSince Sep 21, 2011 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Aug 1, 2011 Accepting new patients
Baptist Memorial Hospital-Jonesboro Inc CurrentSince Aug 15, 2025 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Aug 1, 2011 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
St Bernards Hospital Inc CurrentSince Sep 21, 2011 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

Interoperability endpoints

  • Direct secure messaging: mhaustein29389@direct.bmhcc.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Nea Baptist Memorial HospitalJonesboro, AR, CCN 040118 Hospital Corporate Director Feb 24, 2021
Nea Baptist Memorial HospitalJonesboro, AR, CCN 04T118 Hospital Corporate Director Feb 24, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1154545309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1960",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724031960",
            "telephone_number": "870-936-8000",
            "fax_number": "870-934-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 E JOHNSON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724018413",
            "telephone_number": "870-936-8000",
            "fax_number": "870-934-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSTEIN",
        "first_name": "MATTHEW",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "E-4921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.