Individual provider Active NPI

Matthew Dinehart, MD

  • Dermatopathology Physician
  • Little Rock, AR
National Provider Identifier
1578068425
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
E-15944 Issued in AR
Practice address
9601 Baptist Health Dr Ste 860
Little Rock, AR 72205-6375
Phone
(501) 975-7455
Fax
(501) 975-3631
NPI assigned
Mar 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatopathology Physician 207ND0900X E-15944 AR Primary

Addresses

Primary practice location

9601 Baptist Health Dr Ste 860
Little Rock, AR 72205-6375

Mailing address

4261 Stockton Dr Ste Ll100
North Little Rock, AR 72117-2966
Phone (501) 975-7456

Other practice location 1

111 Colchester Ave
Burlington, VT 05401-1473
Phone (847) 802-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230602001931 AR Practitioner - Dermatology 7012271679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Arkansas College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Dermatology PLLCGroup PAC ID 2466418470, 20 clinicians

Practice addresses (Care Compare)

9601 Baptist Health Dr
Suite 860
Little Rock, AR 72205-6375
Phone (501) 975-7455

Merit-based Incentive Payment System (MIPS)

Final score
81.96 of 100Reported as group
Quality
58.71
Promoting interoperability
99
Improvement activities
40
Cost
81.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions199
Removal or shaving of skin growth1-10
Skin biopsy55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-15944ARMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Dermatology PLLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

2645 Highway 25B
Heber Springs, AR 72543
Phone (501) 362-3100

9601 Baptist Health Dr
Ste 860
Little Rock, AR 72205
Phone (501) 975-7455

4261 Stockton Dr
Ste 200
North Little Rock, AR 72117
Phone (501) 791-7546

4261 Stockton Dr
Ste LL100
North Little Rock, AR 72117

Interoperability endpoints

  • Direct secure messaging: mdinehart@arderm.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1578068425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 STOCKTON DR STE LL100",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172966",
            "telephone_number": "501-975-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR STE 860",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056375",
            "telephone_number": "501-975-7455",
            "fax_number": "501-975-3631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Colchester Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011473",
            "country_code": "US",
            "telephone_number": "847-802-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINEHART",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-23",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "AR",
            "license": "E-15944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.