Individual provider Active NPI

Kenneth D. Matejka, M.D.

  • Diagnostic Radiology Physician
  • Corpus Christi, TX
National Provider Identifier
1043218639
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L7033 Issued in TX
Practice address
1812 S Alameda St
Corpus Christi, TX 78404-2933
Phone
(361) 887-7000
Fax
(361) 561-3185
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X L7033 TX Primary

Addresses

Primary practice location

1812 S Alameda St
Corpus Christi, TX 78404-2933

Mailing address

1812 S Alameda St
Corpus Christi, TX 78404-2933
Phone (361) 887-7000

Other practice location 1

5742 Spohn Dr
Corpus Christi, TX 78414-4116
Phone (361) 887-7000

Other practice location 2

3929 River East Dr
Corpus Christi, TX 78410-5101
Phone (361) 887-7000

Other practice location 3

1776 Billy G Webb
Portland, TX 78374-3706
Phone (361) 887-7000

Other practice location 4

2000 Dr N W Atkinson Blvd Ste 801
Alice, TX 78332-4241
Phone (361) 887-7000

Other identifiers 1

IdentifierTypeStateIssuer
1597502-01MedicaidTX

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
I20090323000087 TX Practitioner - Diagnostic Radiology 7214094077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Miami, LM Miller School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates LLPGroup PAC ID 0244214757, 16 clinicians

Practice addresses (Care Compare)

5742 Spohn Dr
Corpus Christi, TX 78414-4116
Phone (361) 887-7000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Sep 8, 2024 Accepting new patients
Radiology Associates LLP Diagnostic Radiology CurrentSince Jul 1, 2003 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Sep 8, 2024 Accepting new patients
Cardiovascular Care Providers, Inc. PastSince Jul 1, 2003 Accepting new patients

Locations

2000 Dr N W Atkinson Blvd
Ste 801
Alice, TX 78332

3929 River East Dr
Corpus Christi, TX 78410

1812 S Alameda St
Corpus Christi, TX 78404
Phone (361) 561-3100

1812 S Alameda St
#200
Corpus Christi, TX 78404

5742 Spohn Dr
Corpus Christi, TX 78414
Phone (361) 890-3500

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300

816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312

1776 Billy G Webb
Portland, TX 78374

Organizations & group practices 4

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1043218639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042933",
            "telephone_number": "361-887-7000",
            "fax_number": "361-561-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042933",
            "telephone_number": "361-887-7000",
            "fax_number": "361-561-3185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5742 Spohn Dr",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144116",
            "country_code": "US",
            "telephone_number": "361-887-7000",
            "fax_number": "361-561-3185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3929 River East Dr",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784105101",
            "country_code": "US",
            "telephone_number": "361-887-7000",
            "fax_number": "361-561-3185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1776 Billy G Webb",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "TX",
            "postal_code": "783743706",
            "country_code": "US",
            "telephone_number": "361-887-7000",
            "fax_number": "361-561-3185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Dr N W Atkinson Blvd Ste 801",
            "address_purpose": "LOCATION",
            "city": "Alice",
            "state": "TX",
            "postal_code": "783324241",
            "country_code": "US",
            "telephone_number": "361-887-7000",
            "fax_number": "361-561-3185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATEJKA",
        "first_name": "KENNETH",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L7033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1597502-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.