NPIMap

Individual provider Active NPI

Venkata Vinod Kumar Matli, M.D.,

  • Internal Medicine Physician
  • Cheverly, MD
National Provider Identifier
1073998357
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
310977 Issued in LA
Practice address
3001 Hospital Dr
5TH Floor Dept of Internal Medicine
Cheverly, MD 20785-1189
Phone
(301) 618-3776
Fax
(301) 618-2986
NPI assigned
Jul 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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 310977 LA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3001 Hospital Dr
5TH Floor Dept of Internal Medicine
Cheverly, MD 20785-1189

Mailing address

3001 Hospital Dr
5TH Floor Dept of Internal Medicine
Cheverly, MD 20785-1189
Phone (301) 618-3776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20181026001414 LA Practitioner - Internal Medicine 2365795085 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Louisiana Physicians LLCGroup PAC ID 2365885944, 44 clinicians

Practice addresses (Care Compare)

1453 E Bert Kouns Industrial Loop
Christus Highland Medical Center
Shreveport, LA 71105-5634
Phone (318) 681-4500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Oct 5, 2018 Accepting new patients
Northeast Louisiana Physicians, LLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Christus Health Northern Louisiana Past Accepting new patients

Locations

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

2000 Canal St
#C
New Orleans, LA 70112

1453 E Bert Kouns Industrial Loop
#L
Shreveport, LA 71105

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: vmatli406687@christushealth.direct-ci.net

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.

Hospital & facility affiliations 4

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": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1073998357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 HOSPITAL DR",
            "address_2": "5TH FLOOR DEPT OF INTERNAL MEDICINE",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851189",
            "telephone_number": "301-618-3776",
            "fax_number": "301-618-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HOSPITAL DR",
            "address_2": "5TH FLOOR DEPT OF INTERNAL MEDICINE",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851189",
            "telephone_number": "301-618-3776",
            "fax_number": "301-618-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATLI",
        "first_name": "VENKATA VINOD KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-28",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "310977",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheverly, MD

Sources for this page

Verify at the official NPI Registry.