Organization Active NPI

Steele Plastic Surgery PLLC

  • Plastic and Reconstructive Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1013404904
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
P0141 Issued in TX
Legal business name
STEELE PLASTIC SURGERY PLLC
Practice address
5656 Edwards Ranch Road
Suite 202
Fort Worth, TX 76109
Phone
(682) 730-2891
NPI assigned
Apr 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Matthew Howard Steele, MDNPI 1629010772
Title
Owner
Phone
(682) 730-2891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X P0141 TX Primary

Addresses

Primary practice location

5656 Edwards Ranch Road
Suite 202
Fort Worth, TX 76109

Mailing address

6816 Clear Spring Dr
Fort Worth, TX 76132-3751
Phone (682) 730-2891

Other names 1

  • Matthew H Steele MD, Cosmetic and Reconstructive Plastic Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180809000013 TX Part B Supplier - Clinic/Group Practice 2769730621 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

5656 Edwards Ranch Rd
Ste 202
Fort Worth, TX 76109
Phone (682) 730-2891

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1013404904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6816 CLEAR SPRING DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323751",
            "telephone_number": "682-730-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 EDWARDS RANCH ROAD",
            "address_2": "SUITE 202",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "682-730-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEELE PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-730-2891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "P0141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthew H Steele MD, Cosmetic and Reconstructive Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Matthew H Steele MD, Cosmetic and Reconstructive Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.