Individual provider Active NPI

Khaled Abdalla Matar, MD

  • Hospitalist Physician
  • Pine Bluff, AR
National Provider Identifier
1851851992
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME175460 Issued in FL
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240926004546 AR Practitioner - Emergency Medicine 0749511889 Reassigns benefits to 5 organizations
I20251025000393 FL Practitioner - Hospitalist 0749511889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians
Ouachita County Medical CenterGroup PAC ID 4587641055, 29 clinicians

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

LicenseStateTypeSpecialty
ME175460FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Dec 8, 2025 Accepting new patients
Ouachita County Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc CurrentSince Mar 1, 2025 Accepting new patients
Hospital Care Consultants of Fordyce LLC Hospitalist CurrentSince Jun 23, 2024 Accepting new patients
Ouachita County Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Ess of McGehee LLC CurrentSince Jan 16, 2025 Accepting new patients
Health First Medical Group, LLC Family Medicine CurrentSince Dec 8, 2025 Accepting new patients
Ess of Fordyce LLC CurrentSince Jun 23, 2024 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

  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.