Individual provider Active NPI

Patricia Lyn Matto, D.O.

  • Family Medicine Physician
  • Auburn, AL
National Provider Identifier
1194715441
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO.2755 Issued in AL
Practice address
1702 Catherine CT Ste 1a
Auburn, AL 36830-5790
Phone
(334) 501-1081
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34007023M OH
Family Medicine Physician 207Q00000X 0102203314 VA
Family Medicine Physician 207Q00000X DO.2755 AL Primary

Addresses

Primary practice location

1702 Catherine CT Ste 1a
Auburn, AL 36830-5790

Mailing address

1702 Catherine CT
Auburn, AL 36830-5755

Other identifiers 2

IdentifierTypeStateIssuer
1194715441MedicaidVA
2412044MedicaidOH

Other names 1

  • Dr. Patricia Matto Ruof Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20241120003724 AL Practitioner - Family Practice 3072599968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franklin Primary Health Center, Inc.Group PAC ID 1658356308, 50 clinicians

Practice addresses (Care Compare)

1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Phone (251) 432-4117

1361 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Phone (251) 432-7189

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.2755ALMDFamily Medicine Physician
0102203314VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Primary Health Center, Inc Family Medicine CurrentSince Jul 22, 2024 Accepting new patients
Franklin Primary Health Center Inc. Family Medicine CurrentSince Jul 22, 2024 Accepting new patients
Danville Physician Practices LLC Family Medicine Past Accepting new patients
Franklin Primary Health Center, Inc. Family Medicine Past Accepting new patients
Mercy Medical Ministry Family Medicine PastSince Jun 16, 2024 Accepting new patients
Family Medicine Health & Wellness Center, Inc Family Medicine Past Accepting new patients
Montgomery AIDS Outreach, Inc. PastSince Jun 16, 2024 Accepting new patients
Danville Physician Practices LLC Past Accepting new patients
Mercy Professional Care, LLC Family Medicine Past Accepting new patients

Locations

1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646

1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/15870/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19249/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1194715441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 CATHERINE CT",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 CATHERINE CT STE 1A",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305790",
            "telephone_number": "334-501-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTO",
        "first_name": "PATRICIA",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34007023M",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102203314",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO.2755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194715441",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2412044",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "RUOF",
            "middle_name": "MATTO",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.