Daniel Ricardo Matta, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME122971 Issued in FL

Practice address

1301 Hodges Dr
Tallahassee, FL 32308-4614

Phone

(850) 431-5430

NPI assigned

May 29, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, GA2 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 2

Specialty

Internal Medicine

Education

University of Florida College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tallahassee Memorial Healthcare IncGroup PAC ID 6103724778, 498 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmatta21745@tallahasseememorial.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/FEFHCA

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.

• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664
  Medicare reassignment Care Compare group NPD
• KND Development 59 LLC

  • Hospitalist Physician
  • Saint Petersburg, FL
  • NPI 1245569870
  Medicare reassignment NPD
• Southland Hospitalist Group, LLC

  • Emergency Medicine Physician
  • Thomasville, GA
  • NPI 1386910586
  Medicare reassignment NPD
• Big Bend Cares Inc

  • Infectious Disease Physician
  • Tallahassee, FL
  • NPI 1023531704
  Medicare reassignment
• KND Development 59 LLC

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1356670848
  NPD
• Tallahassee Memorial Healthcare Inc

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1053616375
  NPD
• Tallahassee Memorial Healthcare Inc

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1366293102
  NPD
• KND Development 59, LLC

  • Hospitalist Physician
  • Broken Arrow, OK
  • NPI 1922950823
  NPD
• Randy D. Walker, M.D., P.L.L.C.

  • Family Medicine Physician
  • De Queen, AR
  • NPI 1114185121
  NPD
• Southland Select Hospitalist Group, LLC

  • Internal Medicine Physician
  • Tallahassee, FL
  • NPI 1821427246

  Family Medicine

  NPD (past)
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1073950200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 HODGES DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084614",
            "telephone_number": "850-431-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 HODGES DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084614",
            "telephone_number": "850-431-5430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Main St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042407027",
            "country_code": "US",
            "telephone_number": "207-795-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTA",
        "first_name": "DANIEL",
        "middle_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "TRN18888",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD20949",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME122971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony Mathis
• Keithen Mathis, MSW
• Richard Reed Mathis, DC
• Charlene A Mathlin-Sully, SSP, NCSP
• Neila Mathurin
• Kira Anne Matteson Rosen, LMT
• Amanda Ethredge Matthews, M.D.
• Julia C Matthias, OTR/L
• Theresa Mattison, MS
• Natalie Diane Mattson

• Family Medicine Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.

Verify at the official NPI Registry.