Khaled Abdalla Matar, MD
Individual provider Active NPI Hospitalist Physician · Pine Bluff, AR
NPI 1851851992 · NPPES record last updated Nov 25, 2025
Key facts
- NPI
- 1851851992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- ME175460 (FL)
- Practice address
- 1601 W 40TH Ave Ste 100
Pine Bluff, AR 71603-6069 - Phone
- (870) 541-6010
- NPI assigned
- Mar 24, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health First Medical Group, LLC
Ouachita County Medical Center
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
- Viera Hospital
- Holmes Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240926004546 | AR | Practitioner - Emergency Medicine | 0749511889 | Reassigns benefits to 5 organizations |
| I20251025000393 | FL | Practitioner - Hospitalist | 0749511889 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 | Family Medicine | Current |
Accepting new patients |
| Arkansas Emergency Staffing Solutions, Inc | Current |
Accepting new patients | |
| Ouachita County Medical Center | Current |
Accepting new patients | |
| Hospital Care Consultants of Fordyce LLC | Hospitalist | Current |
Accepting new patients |
| Ess of Fordyce LLC | Current |
Accepting new patients | |
| Ess of McGehee LLC | Current |
Accepting new patients | |
| Health First Medical Group, LLC | Current |
Accepting new patients | |
| Ouachita County Medical Center | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-18157 | AR | |
| Hospitalist Physician | 208M00000X | ME175460 | FL | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WD933 | Other | FL | HFMG |
| 128727500 | Medicaid | FL |
Other providers in Pine Bluff, AR
- Tammie Lashund Marshall
- Anita Martin
- Heather Lynne Martin
- Asif Masood
- Deanna Janae' Massey
- Mari-Gray Matthews
- Rhonda Mattox
- Maxwell U. Fleming, Jr., DDS
- May'S Drug Stores Inc
- Joshua Kent Mayfield
All providers in Pine Bluff, AR · Hospitalist Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.