Individual provider Active NPI

Bruce H Matt, MD

  • Pediatric Otolaryngology Physician
  • Indianapolis, IN
National Provider Identifier
1013941558
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
01037542A Issued in IN
Practice address
705 Riley Hospital Dr
Suite 0860
Indianapolis, IN 46202-5128
Phone
(317) 944-8620
Fax
(317) 944-8080
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 01037542A IN
Pediatric Otolaryngology Physician 207YP0228X 01037542A IN Primary

Addresses

Primary practice location

705 Riley Hospital Dr
Suite 0860
Indianapolis, IN 46202-5128

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other identifiers 3

IdentifierTypeStateIssuer
100320610MedicaidIN
1102504467OtherINANTHEM PTAN
000000083127OtherINANTHEM PTAN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bmatt15044@direct.eskenazihealth.edu
Direct Messaging Address bmatt@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050125000821 IN Practitioner - Otolaryngology 2365338431 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Pittsburgh School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01037542AINMDPediatric Otolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2024 Accepting new patients
University Otolaryngology Associates, Inc. Otolaryngology CurrentSince Jul 1, 1992 Accepting new patients
Iu Health Medical Group Riley Specialists, LLC CurrentSince Jan 1, 2026 Accepting new patients
Major Hospital Past Accepting new patients
General Otorhinolaryngological Foundation, Inc. Otolaryngology PastSince Jun 24, 2004 Accepting new patients

Locations

7631 Solutions Ctr
Chicago, IL 60677

11725 Illinois St
Carmel, IN 46032
Phone (317) 617-4808

705 Riley Hospital Dr
Ste 1300
Indianapolis, IN 46202
Phone (317) 944-2801

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

705 Riley Hospital Dr
Ste 860
Indianapolis, IN 46202
Phone (317) 630-8970

720 Eskenazi Ave
#E510056
Indianapolis, IN 46202

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

702 Barnhill Dr
Rm 860
Indianapolis, IN 46202
Phone (319) 630-8970

705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

575 Riley Hospital Dr
Ste 2240
Indianapolis, IN 46202
Phone (317) 944-8620

Interoperability endpoints

  • Direct secure messaging: bmatt15044@direct.eskenazihealth.edu

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1013941558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 RILEY HOSPITAL DR",
            "address_2": "SUITE 0860",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025128",
            "telephone_number": "317-944-8620",
            "fax_number": "317-944-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATT",
        "first_name": "BRUCE",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01037542A",
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "IN",
            "license": "01037542A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100320610",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PTAN",
            "identifier": "1102504467",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PTAN",
            "identifier": "000000083127",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmatt15044@direct.eskenazihealth.edu",
            "affiliation": "N",
            "endpointDescription": "Eskenazi",
            "address_1": "720 Eskenazi Ave # E5100-56",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmatt@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "705 Riley Hospital Dr",
            "address_2": "Suite 0860",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.