Individual provider Active NPI

Robert C Matlock, MD

  • Sleep Medicine (Family Medicine) Physician
  • Waco, TX
National Provider Identifier
1265479273
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
K3613 Issued in TX
Practice address
305 Londonderry Dr
Waco, TX 76712-7929
Phone
(254) 537-6464
Fax
(254) 537-6466
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X K3613 TX
Family Medicine Physician 207Q00000X K3613 TX
Sleep Medicine (Family Medicine) Physician 207QS1201X K3613 TX Primary

Addresses

Primary practice location

305 Londonderry Dr
Waco, TX 76712-7929

Mailing address

PO Box 18962
Belfast, ME 04915-4084
Phone (800) 566-5050

Other identifiers 1

IdentifierTypeStateIssuer
124288506MedicaidTX

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
I20090501000045 TX Practitioner - Sleep MedicinePractitioner - Family Practice 2264580273 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Family Practice
Education
University of Texas Medical Branch at Galveston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health AllianceGroup PAC ID 6305731068, 119 clinicians

Practice addresses (Care Compare)

2100 Lake Shore Dr
Waco, TX 76708-1271
Phone (254) 537-6160

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bosque County Hospital District Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Bosque County Hospital District CurrentSince Aug 1, 2024 Accepting new patients
Bosque County Hospital District Current Accepting new patients
Providence Health Alliance Specialist CurrentSince Oct 1, 2013 Accepting new patients
Providence Health Alliance CurrentSince Oct 1, 2013 Accepting new patients
East Texas Medical Center Quitman Past Accepting new patients
East Texas Medical Center Quitman PastSince Feb 10, 2010 Accepting new patients

Locations

101 S Avenue T
Clifton, TX 76634
Phone (254) 675-8322

201 S Avenue T
Clifton, TX 76634
Phone (254) 675-4101

701 McClintic Dr
Lake Limestone, TX 76642
Phone (254) 729-3281

2100 Lake Shore Dr
Waco, TX 76708
Phone (254) 537-6160

305 Londonderry Dr
Waco, TX 76712
Phone (254) 537-6464

601 W State Highway 6
Ste 106
Waco, TX 76710
Phone (254) 753-0351

6901 Medical Pkwy
Waco, TX 76712
Phone (254) 751-4000

301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200

Interoperability endpoints

  • Direct secure messaging: r.christopher.matlock.1@9635.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1265479273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18962",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154084",
            "telephone_number": "800-566-5050",
            "fax_number": "254-537-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 LONDONDERRY DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127929",
            "telephone_number": "254-537-6464",
            "fax_number": "254-537-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATLOCK",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K3613",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3613",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "TX",
            "license": "K3613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124288506",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.