Active NPI
Matthew A Jeffreys, MD
- Anatomic Pathology & Clinical Pathology Physician
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- E-11231
- Practice address
- 390 E Longview St
Fayetteville, AR 72703-4618 - Phone
- (479) 442-0144
- NPI assigned
- Mar 29, 2014
- Last updated
- Oct 24, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | E-11231 | AR | Primary |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 38609 | OK |
Addresses
Primary practice location
390 E Longview St
Fayetteville, AR 72703-4618
Mailing address
390 E Longview St
Fayetteville, AR 72703-4618
Phone (479) 442-0144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100
1001 S 41St St E
Three Rivers Health Center
Muskogee, OK 74403-6253
Phone (918) 687-0201
390 E Longview St
Fayetteville, AR 72703-4618
Phone (479) 442-0144
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38609 | OK | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Single Specialty | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Single Specialty | Current | Accepting new patients |
| Cherokee Nation | Single Specialty | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Single Specialty | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Single Specialty | Current | Accepting new patients |
| Arkansas Children's Hospital | Current | Accepting new patients | |
| Cherokee Nation | Single Specialty | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Single Specialty | Current | Accepting new patients |
| Arkansas Childrens Hospital | Single Specialty | Current | Accepting new patients |
| Cherokee Nation | Single Specialty | Current | Accepting new patients |
| Cherokee Nation | Single Specialty | Current | Accepting new patients |
Locations
1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
19600 E Ross St
Tahlequah, OK 74464
Phone (539) 234-1000
Dept 2269
Tulsa, OK 74182
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
Interoperability endpoints
- mjeffreys21288@washingtonregional.direct-ci.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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Fayetteville, AR
- NPI 1306819263
-
dba ACH Physicians Billing Group
- Pediatrics Physician
- Little Rock, AR
- NPI 1598773079
Single Specialty
-
dba Childrens University Medical Group
- Pediatrics Physician
- Little Rock, AR
- NPI 1346230968
Single Specialty
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
Single Specialty
-
- Children's Hospital
- Little Rock, AR
- NPI 1477561983
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- Little Rock, AR
- NPI 1275056004
Single Specialty
-
dba Schmieding Developmental Center
- Developmental - Behavioral Pediatrics Physician
- Lowell, AR
- NPI 1407021280
Single Specialty
-
dba Cherokee Nation Public Health
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital Northwest Arkansas
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
-
dba Emergency Medical Service Pro Fee
- Land Ambulance
- Harrison, AR
- NPI 1013907682
Hospital
-
- General Acute Care Hospital
- Harrison, AR
- NPI 1275523912
-
dba Northwest Medical Center
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
-
dba Siloam Springs Regional Hospital
- General Acute Care Hospital
- Siloam Springs, AR
- NPI 1902051816
-
- General Acute Care Hospital
- Fayetteville, AR
- NPI 1083609150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1790103521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 E LONGVIEW ST",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034618",
"telephone_number": "479-442-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 E LONGVIEW ST",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034618",
"telephone_number": "479-442-0144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFREYS",
"first_name": "MATTHEW",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-29",
"last_updated": "2022-10-24",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AR",
"license": "E-11231",
"primary": true
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "OK",
"license": "38609",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.