Individual provider Active NPI

Lara Seltz Matheson, M.D.

  • Urology Physician
  • Houston, TX
National Provider Identifier
1114360450
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
R6240 Issued in TX
Practice address
6560 Fannin St Ste 1440
Houston, TX 77030-2713
Phone
(713) 790-9700
Fax
(790) 790-1328
NPI assigned
Apr 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X R6240 TX Primary

Addresses

Primary practice location

6560 Fannin St Ste 1440
Houston, TX 77030-2713

Mailing address

6560 Fannin St Ste 1440
Houston, TX 77030-2713
Phone (713) 790-9779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180814000349 TX Practitioner - Urology 7315237542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Vanderbilt University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Metro UrologyGroup PAC ID 3971508235, 31 clinicians

Practice addresses (Care Compare)

1220 Blalock Rd
Houston, TX 77055-6456
Phone (713) 464-3343

4223 Richmond Ave
Houston, TX 77027-6856

6560 Fannin St
Suite 1440
Houston, TX 77030-2713
Phone (713) 790-9700

Hospital & facility affiliations

  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Metro Urology CurrentSince Aug 15, 2018 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

4223 Richmond Ave
Houston, TX 77027
Phone (713) 351-0630

6560 Fannin St
Ste 1440
Houston, TX 77030
Phone (713) 523-7843

6560 Fannin St
Ste 2030
Houston, TX 77030
Phone (713) 790-9779

1220 Blalock Rd
Ste 100
Houston, TX 77055
Phone (713) 464-3343

Interoperability endpoints

  • Direct secure messaging: lara.matheson.1@13131.direct.athenahealth.com
  • Direct secure messaging: lara.matheson.1@15454.direct.athenahealth.com
  • Direct secure messaging: lmatheson211124@directhoustonmethodist.org

Organizations & group practices 2

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 2

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1114360450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1440",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302713",
            "telephone_number": "713-790-9779",
            "fax_number": "713-790-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1440",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302713",
            "telephone_number": "713-790-9700",
            "fax_number": "790-790-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHESON",
        "first_name": "LARA",
        "middle_name": "SELTZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "R6240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.