NPIMap

Individual provider Active NPI

Matthew Allen Anderson, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Austin, TX
National Provider Identifier
1023221959
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
M6017 Issued in TX
Practice address
3600 W Parmer LN
Suite 106
Austin, TX 78727-4107
Phone
(512) 977-0123
NPI assigned
May 7, 2007
Last updated
Oct 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M6017 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X M6017 TX Primary
Pulmonary Disease Physician 207RP1001X M6017 TX

Addresses

Primary practice location

3600 W Parmer LN
Suite 106
Austin, TX 78727-4107

Mailing address

4513 Colorado Xing
Austin, TX 78731-4530
Phone (972) 834-7888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110323000085 TX Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 6901089317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin Pulmonary Consultants PAGroup PAC ID 5496853129, 13 clinicians

Practice addresses (Care Compare)

3600 W Parmer LN
Suite 106
Austin, TX 78727-4111
Phone (512) 977-0123

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.61 of 100Reported as group
Quality
80.02
Improvement activities
40
Cost
72.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6017TXMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Pulmonary Consultants PA Pulmonary Disease CurrentSince Aug 1, 2011 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients

Locations

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

3600 W Parmer Ln
Ste 106
Austin, TX 78727
Phone (512) 441-9799

5920 W William Cannon Dr
Ste 150
Austin, TX 78749
Phone (512) 441-9799

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGFJAD/Endpoint/DGFJAD

Organizations & group practices 2

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

Hospital & facility affiliations 5

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1023221959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 COLORADO XING",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314530",
            "telephone_number": "972-834-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W PARMER LN",
            "address_2": "SUITE 106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787274107",
            "telephone_number": "512-977-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MATTHEW",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M6017",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "M6017",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "M6017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.