Individual provider Active NPI

Matthew B. Totten, MD

  • Family Medicine Physician
  • Springdale, AR
National Provider Identifier
1659326312
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-4492 Issued in AR
Practice address
1607 S Old Missouri Rd
Springdale, AR 72764-5723
Phone
(479) 463-4887
Fax
(479) 463-4886
NPI assigned
May 23, 2006
Last updated
Aug 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-4492 AR Primary

Addresses

Primary practice location

1607 S Old Missouri Rd
Springdale, AR 72764-5723

Mailing address

1607 S Old Missouri Rd
Springdale, AR 72764-5723
Phone (479) 463-4887

Other identifiers 3

IdentifierTypeStateIssuer
5N335OtherARAR BLUE CROSS/BLUE SHIELD
158311001MedicaidAR
P00346432OtherARRR MCR

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
I20050922000911 AR Practitioner - Family PracticePractitioner - Emergency Medicine 3678507241 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System Family Medicine CurrentSince Jul 15, 2023 Accepting new patients
Washington Regional Medical System Family Medicine CurrentSince Sep 1, 2012 Accepting new patients
Washington Regional Medical System Family Medicine Current Accepting new patients
Washington Regional Medical System Family Medicine CurrentSince Sep 1, 2012 Accepting new patients
Washington Regional Medical Center Past Accepting new patients

Locations

114 E Sunbridge Dr
Fayetteville, AR 72703
Phone (479) 463-2597

3 E Appleby Rd
Ste 301
Fayetteville, AR 72703
Phone (479) 404-1200

1607 S Old Missouri Rd
Springdale, AR 72764
Phone (479) 306-4480

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1659326312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 S OLD MISSOURI RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645723",
            "telephone_number": "479-463-4887",
            "fax_number": "479-463-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 S OLD MISSOURI RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645723",
            "telephone_number": "479-463-4887",
            "fax_number": "479-463-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOTTEN",
        "first_name": "MATTHEW",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-4492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE CROSS/BLUE SHIELD",
            "identifier": "5N335",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158311001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00346432",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.