NPIMap

Individual provider Active NPI

Matthew Moser Hastings, M.D.

  • Neurology Physician
  • Fairway, KS
National Provider Identifier
1679773600
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0436653 Issued in KS
Practice address
5641 Fairway Rd
Fairway, KS 66205-2643
Phone
(800) 348-4565
Fax
(888) 203-4247
NPI assigned
Jul 18, 2007
Last updated
Oct 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2013017431 MO
Neurology Physician 2084N0400X ME148868 FL
Neurology Physician 2084N0400X MD2021-0191 NM
Neurology Physician 2084N0400X 0436653 KS Primary

Addresses

Primary practice location

5641 Fairway Rd
Fairway, KS 66205-2643

Mailing address

3 Maryland Farms Ste 200
Brentwood, TN 37027-5780
Phone (800) 348-4565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, CA, MN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130926000870 KS Practitioner - Neurology 0547404808 Reassigns benefits to 3 organizations
I20230912001768 CA Practitioner - Neurology 0547404808 Reassigns benefits to 3 organizations
I20240216003949 MN Practitioner - Neurology 0547404808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Kansas School of Med (KC/Wich/Sal), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Remote Neuromonitoring Physicians PCGroup PAC ID 1355495961, 36 clinicians
Sentient Physicians, P.C.Group PAC ID 2668764333, 37 clinicians
Hennepin Healthcare System IncGroup PAC ID 4789684861, 905 clinicians

Practice addresses (Care Compare)

12417 Howe Dr
Leawood, KS 66209-1451
Phone (800) 348-4565

5641 Fairway Rd
Fairway, KS 66205-2643
Phone (800) 348-4565

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40
Cost
72.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME148868FLMDNeurology Physician
0436653KSMDNeurology Physician
2013017431MOMDNeurology Physician
MD2021-0191NMMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hennepin Healthcare System, Inc Current Accepting new patients
County of Santa Clara CurrentSince Aug 29, 2023 Accepting new patients
Remote Neuromonitoring Physicians ,PC Neurology CurrentSince Jan 1, 2021 Accepting new patients
Sentient Physicians, P.C. Neurology CurrentSince Jan 1, 2021 Accepting new patients
County of Santa Clara CurrentSince Aug 29, 2023 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Jan 3, 2024 Accepting new patients
County of Santa Clara Current Accepting new patients
Hennepin Healthcare System Inc CurrentSince Jan 3, 2024 Accepting new patients
County of Santa Clara CurrentSince Aug 29, 2023 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Aug 29, 2023 Accepting new patients
SLNC Inc Neurology Past Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

3 Maryland Farms
Ste 200
Brentwood, TN 37027
Phone (615) 346-8733

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mhastings499939@direct.froedtert.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1679773600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MARYLAND FARMS STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275780",
            "telephone_number": "800-348-4565",
            "fax_number": "888-203-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5641 FAIRWAY RD",
            "city": "FAIRWAY",
            "state": "KS",
            "postal_code": "662052643",
            "telephone_number": "800-348-4565",
            "fax_number": "888-203-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTINGS",
        "first_name": "MATTHEW",
        "middle_name": "MOSER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2013017431",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME148868",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NM",
            "license": "MD2021-0191",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "0436653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairway, KS

Sources for this page

Verify at the official NPI Registry.