Individual provider Active NPI

Matt Y. Bayazitoglu, MD

  • Physical Medicine & Rehabilitation Physician
  • Dallas, TX
National Provider Identifier
1013936715
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
M3901 Issued in TX
Practice address
411 N Washington Ave
Suite 4000
Dallas, TX 75246-1713
Phone
(214) 820-8557
Fax
(214) 480-8356
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD-13887 HI
Physical Medicine & Rehabilitation Physician 208100000X 27753 AL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X M3901 TX
Physical Medicine & Rehabilitation Physician 208100000X M3901 TX Primary

Addresses

Primary practice location

411 N Washington Ave
Suite 4000
Dallas, TX 75246-1713

Mailing address

411 N Washington Ave
Suite 4000
Dallas, TX 75246-1713
Phone (214) 820-8557

Other identifiers 5

IdentifierTypeStateIssuer
201893902MedicaidTX
8BU824OtherTXBCBSTX
051537986MedicaidAL
515-37986OtherALBC BS OF AL
201893901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090422000445 TX Practitioner - Physical Medicine and Rehabilitation 4789689563 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Texas Tech University Health Science Center School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pam Physician EnterpriseGroup PAC ID 1254628589, 34 clinicians

Practice addresses (Care Compare)

345 S Water St
Pam Rehabilitation Hospital of Corpus Chris
Corpus Christie, TX 78401-2819
Phone (361) 986-1604

Hospital & facility affiliations

  • Pam Rehabilitation Hospital of Corpus Christi Inpatient rehabilitation facility, Corpus Christi, TX, CCN 673067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27753ALMDPhysical Medicine & Rehabilitation Physician
MD-13887HIMDPhysical Medicine & Rehabilitation Physician
M3901TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jun 1, 2009 Accepting new patients
North Star MCD, LLC CurrentSince Jan 1, 2016 Accepting new patients
North Star MCD LLC CurrentSince Jan 1, 2016 Accepting new patients
Healthtexas Provider Network Physical Medicine & Rehabilitation CurrentSince Jun 1, 2009 Accepting new patients
North Star MCD, LLC Current Accepting new patients
Healthtexas Provider Network Physical Medicine & Rehabilitation Current Accepting new patients
Pam Physician Enterprise Physical Medicine & Rehabilitation CurrentSince May 1, 2020 Accepting new patients
Pam Squared at Dover LLC Past Accepting new patients

Locations

345 S Water St
Corpus Christi, TX 78401
Phone (361) 443-9013

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

411 N Washington Ave
Ste 4000
Dallas, TX 75246
Phone (214) 820-2521

12230 Coit Rd
Ste 100
Dallas, TX 75251
Phone (214) 252-7020

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

10323 State Highway 151
San Antonio, TX 78251
Phone (210) 581-5306

Organizations & group practices 8

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 1

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1013936715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N WASHINGTON AVE",
            "address_2": "SUITE 4000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461713",
            "telephone_number": "214-820-8557",
            "fax_number": "214-480-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N WASHINGTON AVE",
            "address_2": "SUITE 4000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461713",
            "telephone_number": "214-820-8557",
            "fax_number": "214-480-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYAZITOGLU",
        "first_name": "MATT",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "HI",
            "license": "MD-13887",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "27753",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "M3901",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "M3901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201893902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8BU824",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051537986",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF AL",
            "identifier": "515-37986",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201893901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.