Active NPI
Patricia Lyn Matto, D.O.
- Family Medicine Physician
- Auburn, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO.2755
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194715441 | Medicaid | VA | |
| 2412044 | Medicaid | OH |
Other names 1
- Dr. Patricia Matto Ruof
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DO.2755 | AL | MD | Family Medicine Physician |
| 0102203314 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin Primary Health Center, Inc | Family Medicine | Current | Accepting new patients |
| Franklin Primary Health Center Inc. | Family Medicine | Current | 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 | Past | Accepting new patients |
| Family Medicine Health & Wellness Center, Inc | Family Medicine | Past | Accepting new patients |
| Montgomery AIDS Outreach, Inc. | Past | 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
- https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
- https://api.platform.athenahealth.com/15870/brand/1/csg/1/fhir/r4
- 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.
-
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1679532303
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Evergreen, AL
- NPI 1346733821
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1104895952
Family Medicine
-
- Family Medicine Physician
- Auburn, AL
- NPI 1770006454
-
- Medical Specialty Clinic/Center
- Montgomery, AL
- NPI 1689651408
-
- Diagnostic Radiology Physician
- Danville, VA
- NPI 1265243612
-
- Anesthesiology Physician
- Danville, VA
- NPI 1629022868
Family Medicine
-
- Family Medicine Physician
- Massillon, OH
- NPI 1265459259
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.