Active NPI
Matthew Robert Porter, MD
- Family Medicine Physician
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K1622
- Practice address
- 600 W. State Hwy 6
Waco, TX 76712 - Phone
- (254) 313-6700
- Fax
- (254) 313-4531
- NPI assigned
- Dec 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K1622 | TX | Primary |
Addresses
Primary practice location
600 W. State Hwy 6
Waco, TX 76712
Mailing address
1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical School at San Antonio, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200
1800 Gurley LN
Waco, TX 76706-4025
Phone (254) 313-6000
500 Johnson Dr
MC Gregor, TX 76657-1441
Phone (254) 313-5200
600 W State Hwy 6
Waco, TX 76712-3977
Phone (254) 313-6700
6500 Imperial Dr
Suite 200
Waco, TX 76712-3977
Phone (254) 313-6600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of Texas Community Health Center Inc | Current | Accepting new patients | |
| Heart of Texas Community Health Center, Inc. | Family Medicine | Current | Accepting new patients |
| Heart of Texas Community Health Center, Inc | Family Medicine | Current | Accepting new patients |
Locations
600 W State Highway 6
Waco, TX 76712
Phone (254) 313-6700
1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200
Organizations & group practices 3
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.
-
dba Waco Family Medicine - Madison Cooper
- Federally Qualified Health Center (FQHC)
- Waco, TX
- NPI 1568191492
-
dba Family Health Center
- Federally Qualified Health Center (FQHC)
- Waco, TX
- NPI 1164409926
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Temple, TX
- NPI 1992685218
Family Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waco, TX
- NPI 1093708679
-
dba Interim Hospice of Granbury
- Community Based Hospice Care Agency
- Waco, TX
- NPI 1144525700
-
dba Baylor Scott & White Medical Center Hillcrest
- General Acute Care Hospital
- Waco, TX
- NPI 1891882833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1023095676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 PROVIDENCE DR",
"city": "WACO",
"state": "TX",
"postal_code": "767072261",
"telephone_number": "254-313-4200",
"fax_number": "254-313-4326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W. STATE HWY 6",
"city": "WACO",
"state": "TX",
"postal_code": "76712",
"telephone_number": "254-313-6700",
"fax_number": "254-313-4531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "MATTHEW",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-26",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K1622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.