Individual provider Active NPI

Laure G Demattia, DO

  • Obesity Medicine (Family Medicine) Physician
  • Norman, OK
National Provider Identifier
1235181579
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
License
5912 Issued in OK
Practice address
2821 36TH Ave NW Ste 200
Norman, OK 73072-2477
Phone
(405) 515-2049
Fax
(405) 307-5630
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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 45995 WI
Obesity Medicine (Family Medicine) Physician 207QB0002X 53690 MN
Obesity Medicine (Family Medicine) Physician 207QB0002X 5912 OK Primary

Addresses

Primary practice location

2821 36TH Ave NW Ste 200
Norman, OK 73072-2477

Mailing address

PO Box 1330
Norman, OK 73070-1330
Phone (405) 735-2049

Other practice location 1

3433 NW 56th St
Suite 970
Oklahoma City, OK 73112-4455
Phone (405) 951-2131

Other identifiers 2

IdentifierTypeStateIssuer
006906261IOtherHUMANA
43508500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160511000485 OK Practitioner - Family PracticePractitioner - GastroenterologyPractitioner - Preventive Medicine 3779485834 Reassigns benefits to 4 organizations
I20260512004545 TX Practitioner - Family Practice 3779485834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Oklahoma American Indian Health Council, Inc.Group PAC ID 3476617374, 60 clinicians

Practice addresses (Care Compare)

309 S Ann Arbor
Oklahoma City Indian Clinic
Oklahoma City, OK 73128-1112
Phone (405) 948-4900

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53690MNMDObesity Medicine (Family Medicine) Physician
5912OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Albert M D P C CurrentSince Oct 15, 2024 Accepting new patients
Norman Regional Providers Specialty Care CurrentSince Aug 18, 2017 Accepting new patients
Virtual Medical Partners of California, P.C. CurrentSince Oct 15, 2024 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
The Medical College of Wisconsin, Inc. Family Medicine Past Accepting new patients
Central Oklahoma American Indian Health Council, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

2821 36th Ave NW
Ste 200
Norman, OK 73072
Phone (405) 515-2049

500 E Robinson St
Ste 2300
Norman, OK 73071
Phone (405) 329-4102

3400 W Tecumseh Rd
Ste 300
Norman, OK 73072
Phone (405) 307-5700

Interoperability endpoints

  • Direct secure messaging: laure.demattia.1@25828.direct.athenahealth.com

Organizations & group practices 8

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1235181579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701330",
            "telephone_number": "405-735-2049",
            "fax_number": "405-307-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 36TH AVE NW STE 200",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730722477",
            "telephone_number": "405-515-2049",
            "fax_number": "405-307-5630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3433 NW 56th St",
            "address_2": "Suite 970",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731124455",
            "country_code": "US",
            "telephone_number": "405-951-2131",
            "fax_number": "405-951-2135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMATTIA",
        "first_name": "LAURE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "45995",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "MN",
            "license": "53690",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "OK",
            "license": "5912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "006906261I",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43508500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.