Individual provider Active NPI

Ralph Matalon, M.D.

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1063445450
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD-54536 Issued in IA
Practice address
12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Phone
(972) 715-5000
Fax
(972) 715-9976
NPI assigned
Jul 8, 2006
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD217775 OR
Anesthesiology Physician 207L00000X 036170304 IL
Anesthesiology Physician 207L00000X MD-54536 IA Primary
Anesthesiology Physician 207L00000X J3152 TX

Addresses

Primary practice location

12222 Merit Dr Ste 600
Dallas, TX 75251-3294

Mailing address

PO Box 34717
San Antonio, TX 78265-4717
Phone (210) 615-1187

Other practice location 1

4242 Medical Dr Ste 3100
San Antonio, TX 78229-5642
Phone (210) 615-1187 ext. 555

Other practice location 2

10400 Haligus Rd
Huntley, IL 60142-9553
Phone (224) 654-0000

Other identifiers 1

IdentifierTypeStateIssuer
1035362-02MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR, IL, IA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20110609000808 TX Practitioner - Anesthesiology 9638356132 Reassigns benefits to 3 organizations
I20231212001918 OR Practitioner - Anesthesiology 9638356132 Reassigns benefits to 1 organization
I20240627003207 IL Practitioner - Anesthesiology 9638356132
I20250429003457 IA Practitioner - Anesthesiology 9638356132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Wayne State University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians

Practice addresses (Care Compare)

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-3121

12412 Judson Rd
Live Oak, TX 78233-3255
Phone (210) 757-7000

5330 N Loop 1604
San Antonio, TX 78249-4383
Phone (469) 863-9978

7211 Preston Rd
Suite 2100
Plano, TX 75024-0258
Phone (469) 303-0104

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 620-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-54536IAMDAnesthesiology Physician
MD217775ORMDAnesthesiology Physician
J3152TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Nov 1, 2023 Accepting new patients
Cep America - Anesthesia PC Anesthesiology Current Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince Mar 4, 2023 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Nov 1, 2023 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince May 18, 2022 Accepting new patients
Covenant Medical Center Inc CurrentSince Jul 15, 2025 Accepting new patients
Mercy Medical Center Current Accepting new patients
Covenant Medical Center, Inc. CurrentSince Jul 15, 2025 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

7000 N Mopac Expy
Ste 120
Austin, TX 78731
Phone (512) 342-0900

138 Old San Antonio Rd
Ste 400
Boerne, TX 78006
Phone (210) 442-9977

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

18414 US Highway 281 N
Ste 114
San Antonio, TX 78259
Phone (210) 455-4150

19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355

1919 Rogers Rd
Ste 102
San Antonio, TX 78251
Phone (210) 267-8000

1927 Rogers Rd
San Antonio, TX 78251
Phone (205) 263-7863

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

9522 Huebner Rd
San Antonio, TX 78240
Phone (210) 478-5390

Interoperability endpoints

  • Direct secure messaging: rmatalon4358206@direct.trinity-health.org

Organizations & group practices 10

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 8

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1063445450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34717",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782654717",
            "telephone_number": "210-615-1187",
            "fax_number": "210-314-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 MERIT DR STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513294",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4242 Medical Dr Ste 3100",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782295642",
            "country_code": "US",
            "telephone_number": "210-615-1187 x555",
            "fax_number": "210-614-2180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10400 Haligus Rd",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601429553",
            "country_code": "US",
            "telephone_number": "224-654-0000",
            "fax_number": "224-654-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATALON",
        "first_name": "RALPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD217775",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036170304",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "MD-54536",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J3152",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035362-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.