NPIMap

Individual provider Active NPI

Matthew W Nicola, MD

  • Family Medicine Physician
  • Spring Branch, TX
National Provider Identifier
1124096581
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K5049 Issued in TX
Practice address
6098 FM 311
Spring Branch, TX 78070-7253
Phone
(830) 885-5541
Fax
(830) 885-5542
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K5049 TX Primary

Addresses

Primary practice location

6098 FM 311
Spring Branch, TX 78070-7253

Mailing address

6098 FM 311
Spring Branch, TX 78070-7253
Phone (830) 885-5541

Other identifiers 1

IdentifierTypeStateIssuer
169864901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041104000250 TX Practitioner - Family Practice 9234191248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Smithson Valley Family Medicine, LLPGroup PAC ID 3779597927, 6 clinicians

Practice addresses (Care Compare)

6098 FM
Suite 311
Spring Branch, TX 78070-7253
Phone (830) 885-5541

Hospital & facility affiliations

  • Christus Homecare Home health agency, New Braunfels, TX, CCN 677544
  • Beyondfaith Homecare & Rehab San Antonio Home health agency, San Antonio, TX, CCN 747518
  • Capitol Home Health Home health agency, San Antonio, TX, CCN 747928
  • Atex Home Healthcare Home health agency, San Antonio, TX, CCN 679395
  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Resolute Health Hospital Hospital, New Braunfels, TX, CCN 670098
  • New Braunfels Regional Rehabilitation Hospital Inpatient rehabilitation facility, New Braunfels, TX, CCN 673049

Merit-based Incentive Payment System (MIPS)

Final score
92.82 of 100Reported as individual
Quality
98.61
Improvement activities
40
Cost
77.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K5049TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smithson Valley Family Medicine, LLP Family Medicine CurrentSince Jan 1, 2006 Accepting new patients

Locations

13201 FM 306
Canyon Lake, TX 78133
Phone (830) 964-5575

Organizations & group practices 1

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 12

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124096581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6098 FM 311",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780707253",
            "telephone_number": "830-885-5541",
            "fax_number": "830-885-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6098 FM 311",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780707253",
            "telephone_number": "830-885-5541",
            "fax_number": "830-885-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLA",
        "first_name": "MATTHEW",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169864901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Branch, TX

Sources for this page

Verify at the official NPI Registry.