Individual provider Active NPI

Herbert Reid Mattison, MD

  • Infectious Disease Physician
  • Indianapolis, IN
National Provider Identifier
1043250939
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
01039266A Issued in IN
Practice address
1633 N Capitol Ave.
Suite 750
Indianapolis, IN 46202-1270
Phone
(317) 962-0953
Fax
(317) 962-2455
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01039266A IN
Infectious Disease Physician 207RI0200X 01039266A IN Primary

Addresses

Primary practice location

1633 N Capitol Ave.
Suite 750
Indianapolis, IN 46202-1270

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1000 S Main St
Tipton, IN 46072-9753
Phone (765) 675-8500

Other identifiers 1

IdentifierTypeStateIssuer
100102960MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hmattison@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
I20070625000416 IN Practitioner - Infectious DiseasePractitioner - Internal Medicine 9133104680 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Care Associates, Inc CurrentSince Jan 1, 2016 Accepting new patients
Indiana University Health Care Associates, Inc. CurrentSince Jan 1, 2016 Accepting new patients
University Medical Diagnostic Associates, Inc. Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Indiana Pathology Institute PC Current Accepting new patients
Major Hospital Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

7301 Solutions Ctr
Chicago, IL 60677

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

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

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

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

1633 N Capitol Ave
Ste 750
Indianapolis, IN 46202
Phone (317) 962-0953

1633 N Capitol Ave
Ste 300
Indianapolis, IN 46202
Phone (317) 962-2700

1633 N Capitol Ave
Ste 700
Indianapolis, IN 46202
Phone (317) 962-2700

1000 S Main St
Tipton, IN 46072
Phone (765) 675-8500

Interoperability endpoints

  • Direct secure messaging: hmattison10566@direct.franciscanalliance.org
  • Direct secure messaging: hmattison@direct.iuhealth.org

Organizations & group practices 6

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1043250939",
    "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": "1633 N CAPITOL AVE.",
            "address_2": "SUITE 750",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021270",
            "telephone_number": "317-962-0953",
            "fax_number": "317-962-2455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 S Main St",
            "address_purpose": "LOCATION",
            "city": "Tipton",
            "state": "IN",
            "postal_code": "460729753",
            "country_code": "US",
            "telephone_number": "765-675-8500",
            "fax_number": "765-675-8520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTISON",
        "first_name": "HERBERT",
        "middle_name": "REID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01039266A",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IN",
            "license": "01039266A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100102960",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hmattison@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1633 N Capitol Ave.",
            "address_2": "Suite 750",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.