Active NPI
Khaled Abdalla Matar, MD
- Hospitalist Physician
- Pine Bluff, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME175460
- Practice address
- 1601 W 40TH Ave Ste 100
Pine Bluff, AR 71603-6069 - Phone
- (870) 541-6010
- NPI assigned
- Mar 24, 2019
- Last updated
- Nov 25, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-18157 | AR | |
| Hospitalist Physician | 208M00000X | ME175460 | FL | Primary |
| Family Medicine Physician | 207Q00000X | ME175460 | FL |
Addresses
Primary practice location
1601 W 40TH Ave Ste 100
Pine Bluff, AR 71603-6069
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 434-1771
Other practice location 1
8745 N Wickham Rd
Melbourne, FL 32940-5997
Phone (321) 434-1771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, FL
- 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
- Hospitalist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401
1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Phone (321) 434-8121
638 California Ave SW
Camden, AR 71701-4604
Phone (870) 836-1000
699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562
8745 N Wickham Rd
Melbourne, FL 32940-5997
Phone (321) 434-5162
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME175460 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Ouachita County Medical Center | Current | Accepting new patients | |
| Arkansas Emergency Staffing Solutions, Inc | Current | Accepting new patients | |
| Hospital Care Consultants of Fordyce LLC | Hospitalist | Current | Accepting new patients |
| Ouachita County Medical Center | Current | Accepting new patients | |
| Ess of McGehee LLC | Current | Accepting new patients | |
| Health First Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Ess of Fordyce LLC | Current | Accepting new patients | |
| Central Georgia Pulmonary Associates, LLC | Past | Accepting new patients |
Locations
1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590
638 California Ave SW
East Camden, AR 71701
Phone (870) 836-1000
201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300
900 S 3rd St
McGehee, AR 71654
Phone (855) 498-6768
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771
8745 N Wickham Rd
Viera, FL 32940
Phone (321) 434-7191
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JAGGAA
Organizations & group practices 9
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.
-
- Emergency Care Clinic/Center
- Camden, AR
- NPI 1346354826
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Family Medicine
-
- Emergency Medicine Physician
- Hope, AR
- NPI 1275774630
-
- Emergency Medicine Physician
- Fordyce, AR
- NPI 1821547977
-
- Emergency Medicine Physician
- McGehee, AR
- NPI 1639822653
-
- Hospitalist Physician
- Fordyce, AR
- NPI 1316497464
-
- Rural Acute Care Hospital
- Camden, AR
- NPI 1245284769
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- Pulmonary Disease Physician
- Macon, GA
- NPI 1669521902
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1851851992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306",
"telephone_number": "321-434-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 W 40TH AVE STE 100",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716036069",
"telephone_number": "870-541-6010"
}
],
"practiceLocations": [
{
"address_1": "8745 N Wickham Rd",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329405997",
"country_code": "US",
"telephone_number": "321-434-1771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATAR",
"first_name": "KHALED",
"middle_name": "ABDALLA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-24",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-18157",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME175460",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME175460",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.