Active NPI
Matthew B McLellan, MD
- Family Medicine Physician
- Van Buren, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-2581
- Practice address
- 2521 Alma Hwy
Van Buren, AR 72956-5015 - Phone
- (479) 274-6800
- Fax
- (479) 474-4513
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-2581 | AR | Primary |
Addresses
Primary practice location
2521 Alma Hwy
Van Buren, AR 72956-5015
Mailing address
PO Box 3528
Fort Smith, AR 72913-3528
Phone (479) 274-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141364001 | Medicaid | AR | |
| 080158539 | Other | RR MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 Lexington Ave
Fort Smith, AR 72901-5136
Phone (479) 709-7260
1500 Dodson Ave
Fort Smith, AR 72901-5182
3808 Gary St
Fort Smith, AR 72903-5450
Hospital & facility affiliations
- Baptist Health - Fort Smith
- Baptist Health Medical Center-Little Rock
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-2581 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Services | Family Medicine | Current | Accepting new patients |
| Baptist Health Services | Current | Accepting new patients |
Locations
3808 Gary St
Ste B
Fort Smith, AR 72903
Phone (479) 709-7020
1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025
1500 Dodson Ave
Ste 60
Fort Smith, AR 72901
Phone (479) 709-7325
1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260
1500 Dodson Ave
Fort Smith, AR 72901
Phone (479) 441-2600
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
2521 Alma Hwy
Van Buren, AR 72956
Phone (479) 474-7448
Interoperability endpoints
- mmclellan218179@direct.baptist-healthar.org
Organizations & group practices 2
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.
-
- Foot & Ankle Surgery Podiatrist
- Fort Smith, AR
- NPI 1922587690
-
- Family Medicine Physician
- Fort Smith, AR
- NPI 1750856043
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1043240682
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1710463146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1629095328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3528",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729133528",
"telephone_number": "479-274-2000",
"fax_number": "479-274-2194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2521 ALMA HWY",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729565015",
"telephone_number": "479-274-6800",
"fax_number": "479-474-4513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLELLAN",
"first_name": "MATTHEW",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-2581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141364001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "080158539",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Van Buren, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.