Individual provider Active NPI

Kara L Matala, D.O.

  • Family Medicine Physician
  • Bedford, VA
National Provider Identifier
1144221664
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102201007 Issued in VA
Practice address
171 W Main St
Bedford, VA 24523-1950
Phone
(540) 586-7273
NPI assigned
Aug 9, 2005
Last updated
Feb 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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 0102201007 VA Primary

Addresses

Primary practice location

171 W Main St
Bedford, VA 24523-1950

Mailing address

3239 Electric Rd
Ste a
Roanoke, VA 24018-6444
Phone (540) 904-7912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100513000500 VA Practitioner - Family Practice 9931237880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

3239 Electric Rd
Roanoke, VA 24018-6444
Phone (540) 904-7912

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Family Medicine CurrentSince Feb 26, 2016 Accepting new patients
Bedford Medical, Inc. Family Medicine Current Accepting new patients
Privia Medical Group, LLC CurrentSince Feb 26, 2016 Accepting new patients
Nova Physician Wellness Center PLLC Family Medicine Past Accepting new patients
Solstas Lab Partners LLC Past Accepting new patients

Locations

171 W Main St
Bedford, VA 24523
Phone (540) 586-7273

8644 Sudley Rd
#220
Manassas, VA 20110

3239 Electric Rd
#A
Roanoke, VA 24018
Phone (540) 772-2637

3239 Electric Rd
Ste A
Roanoke, VA 24018
Phone (540) 772-2637

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kara.matala.1@8042.direct.athenahealth.com

Organizations & group practices 5

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.

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1144221664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3239 ELECTRIC RD",
            "address_2": "STE A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186444",
            "telephone_number": "540-904-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 W MAIN ST",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245231950",
            "telephone_number": "540-586-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATALA",
        "first_name": "KARA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102201007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, VA

Sources for this page

Verify at the official NPI Registry.