Individual provider Active NPI

Matthew Haltom, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Memphis, TN
National Provider Identifier
1912354853
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
60449 Issued in TN
Practice address
5050 Poplar Ave Ste 800
Memphis, TN 38157-0800
Phone
(901) 276-2662
Fax
(901) 274-2033
NPI assigned
May 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 60449 TN
Sleep Medicine (Internal Medicine) Physician 207RS0012X 60449 TN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 60449 TN Primary

Addresses

Primary practice location

5050 Poplar Ave Ste 800
Memphis, TN 38157-0800

Mailing address

5050 Poplar Ave Ste 800
Memphis, TN 38157-0800
Phone (901) 276-2662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240718004289 TN Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 7911367149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
University of Tennessee, HSC, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Pulmonary Specialists PCGroup PAC ID 5092700518, 47 clinicians

Practice addresses (Care Compare)

5050 Poplar Ave
Suite 800
Memphis, TN 38157-0800
Phone (901) 276-2662

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.96 of 100Reported as group
Quality
92.15
Promoting interoperability
98
Improvement activities
40
Cost
75.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60449TNMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Pulmonary Specialists PC Critical Care Medicine CurrentSince Jul 1, 2024 Accepting new patients

Locations

5050 Poplar Ave
Ste 800
Memphis, TN 38157
Phone (901) 276-2662

Interoperability endpoints

  • Direct secure messaging: matthew.haltom.p1@direct.mspulmonary.nextgenshare.com
  • Direct secure messaging: mhaltom43924@mlh.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1912354853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 POPLAR AVE STE 800",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381570800",
            "telephone_number": "901-276-2662",
            "fax_number": "901-274-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 POPLAR AVE STE 800",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381570800",
            "telephone_number": "901-276-2662",
            "fax_number": "901-274-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALTOM",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-20",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "60449",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "60449",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "60449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.