Individual provider Active NPI

Matt Ted Gubert, M.D.

  • Anesthesiology Physician
  • Plano, TX
National Provider Identifier
1144263484
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
L7402 Issued in TX
Practice address
400 Chisholm PL Ste 406
Plano, TX 75075-6911
Phone
(972) 588-4541
Fax
(469) 304-0139
NPI assigned
Jun 14, 2006
Last updated
Jul 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X L7402 TX Primary

Addresses

Primary practice location

400 Chisholm PL Ste 406
Plano, TX 75075-6911

Mailing address

PO Box 678631
Dallas, TX 75267-8631
Phone (972) 588-4541

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
I20051206000438 TX Practitioner - Anesthesiology 1355361338 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Texas Anesthesia Consultants PLLCGroup PAC ID 2163857251, 19 clinicians

Practice addresses (Care Compare)

17480 Dallas Pkwy
Suite 125
Dallas, TX 75287-7354
Phone (972) 422-5941

400 Chisholm PL
Suite 114
Plano, TX 75075-6957
Phone (972) 588-4541

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L7402TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pilot Anesthesia PLLC Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
Texas Anesthesia Partners, PLLC Anesthesiology CurrentSince Sep 7, 2024 Accepting new patients
Afterglow Anesthesia PLLC Anesthesiology CurrentSince Mar 1, 2025 Accepting new patients
Greater Texas Anesthesia Consultants PLLC Anesthesiology CurrentSince Dec 4, 2019 Accepting new patients

Locations

16633 Dallas Pkwy
Ste 150
Addison, TX 75001
Phone (972) 380-0000

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

1600 Rio Grande St
Austin, TX 78701
Phone (972) 863-1155

5929 Balcones Dr
Ste 200
Austin, TX 78731
Phone (512) 222-5856

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

17440 Dallas Pkwy
Ste 228
Dallas, TX 75287
Phone (972) 588-4541

17980 Dallas Pkwy
Ste 100
Dallas, TX 75287
Phone (817) 556-8387

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

12505 Lebanon Rd
Frisco, TX 75035
Phone (972) 731-4800

8350 Dallas Pkwy
Ste 100
Frisco, TX 75034
Phone (469) 213-8310

750 13th Ave
Ft Worth, TX 76104
Phone (817) 334-5050

400 Chisholm Pl
Ste 114
Plano, TX 75075
Phone (972) 588-4541

400 Chisholm Pl
Ste 406
Plano, TX 75075
Phone (972) 588-4541

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1144263484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678631",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678631",
            "telephone_number": "972-588-4541",
            "fax_number": "469-304-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CHISHOLM PL STE 406",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756911",
            "telephone_number": "972-588-4541",
            "fax_number": "469-304-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBERT",
        "first_name": "MATT",
        "middle_name": "TED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L7402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.