Individual provider Active NPI

Katherine Diane Matta, MD

  • Obstetrics & Gynecology Physician
  • Brookline, MA
National Provider Identifier
1114129053
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
245099 Issued in MA
Practice address
1180 Beacon St Ste 6D
Brookline, MA 02446-3806
Phone
(617) 232-0440
Fax
(617) 232-8444
NPI assigned
Jun 4, 2007
Last updated
Apr 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 245099 MA
Obstetrics & Gynecology Physician 207V00000X 245099 MA Primary

Addresses

Primary practice location

1180 Beacon St Ste 6D
Brookline, MA 02446-3806

Mailing address

1180 Beacon St Ste 6D
Brookline, MA 02446-3806
Phone (617) 232-0440

Other names 1

  • Katherine Diane Schafbuch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20120824000012 MA Practitioner - Obstetrics/Gynecology 9133215601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Missouri, Kansas City, School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nicole H. Boudreau,MD P.C.Group PAC ID 1759310568, 2 clinicians

Practice addresses (Care Compare)

1180 Beacon St
Suite 6D
Brookline, MA 02446-3806
Phone (617) 232-0440

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Jul 31, 2012 Accepting new patients
Nicole H. Boudreau,MD P.C. CurrentSince Jul 20, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 31, 2012 Accepting new patients

Locations

11 Nevins St
Ste 404
Boston, MA 02135

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

77 Warren St
Fl 5
Brighton, MA 02135
Phone (617) 254-3376

1180 Beacon St
Ste 2C
Brookline, MA 02446
Phone (617) 232-0440

1180 Beacon St
Ste 6D
Brookline, MA 02446
Phone (617) 232-0440

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIIFAA/Endpoint/CIIFAA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745625600000",
    "number": "1114129053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST STE 6D",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463806",
            "telephone_number": "617-232-0440",
            "fax_number": "617-232-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST STE 6D",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463806",
            "telephone_number": "617-232-0440",
            "fax_number": "617-232-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTA",
        "first_name": "KATHERINE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MA",
            "license": "245099",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "245099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "SCHAFBUCH",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.