Matthew Timothy Walter, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E-0008 Issued in AR

Practice address

225 N Bloomington St
Suites B-D
Lowell, AR 72745-9103

Phone

(479) 757-5054

Fax

(479) 757-5055

NPI assigned

Jun 26, 2005

Last updated

Apr 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR, MO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Emergency Medicine

Education

University of Arkansas College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freeman Neosho HospitalGroup PAC ID 4284624552, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Freeman Neosho Hospital Hospital, Neosho, MO, CCN 261331

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Freeman Neosho Hospital

  • Critical Access Hospital
  • Neosho, MO
  • NPI 1841307428
  Medicare reassignment Care Compare group NPD
• South Arkansas Emergency Physicians LLP

  • Emergency Medicine Physician
  • El Dorado, AR
  • NPI 1942435458
  Medicare reassignment NPD
• Ies Arkansas PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1598488090

  AR

  Medicare reassignment NPD
• Freeman Neosho Hospital

  • Critical Access Hospital
  • Neosho, MO
  • NPI 1598873796
  Medicare reassignment
• South Arkansas Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Springdale, AR
  • NPI 1205257250
  NPD
• Bentonville Radiology Consultants, PLLC

  • Diagnostic Radiology Physician
  • Bentonville, AR
  • NPI 1003882747
  NPD (past)
• Hope-Hempstead Emegency Group LLC

  • Emergency Medicine Physician
  • Hope, AR
  • NPI 1235115726
  NPD (past)
• Mabelvale Community Emergency Physicians

  • Emergency Medicine Physician
  • Fayetteville, AR
  • NPI 1063604007
  NPD (past)
• Nes Arkansas, Inc.

  • Emergency Medicine Physician
  • El Dorado, AR
  • NPI 1184615551
  NPD (past)

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

• Freeman Neosho Hospital

  • Critical Access Hospital
  • Neosho, MO
  • NPI 1598873796
  Care Compare affiliation

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

{
    "created_epoch": "1119744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1386640175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13181 RIDGELINE RD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727129190",
            "telephone_number": "479-273-5766",
            "fax_number": "479-273-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N BLOOMINGTON ST",
            "address_2": "SUITES B-D",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727459103",
            "telephone_number": "479-757-5054",
            "fax_number": "479-757-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "MATTHEW",
        "middle_name": "TIMOTHY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-26",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2015019923",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-0008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129927001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of Arkansas for Medical Sciences (Childrens University Medical Group)
• University of Arkansas for Medical Sciences (Schmieding Developmental Center)
• University of Arkansas for Medical Sciences
• Anna Lucy Voorhies, LCSW
• Susan Denise Walker, MS, MS, LPC, LMFT
• Tammy Walters
• Washington Regional Medical System (Colon and Rectal Clinic - Washington Regional)
• Washington Regional Medical System (Advantage Primary Care)
• Emily Margaret Watt, PTA
• Well Rheum, PLLC

• Family Medicine Physician in Lowell, AR
• Providers in Lowell, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.