Matthew Ryan Rossomando, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA12799 Issued in TX

Practice address

1310 McCullough Ave
San Antonio, TX 78212

Phone

(210) 757-2200

NPI assigned

Nov 10, 2011

Last updated

Mar 17, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Methodist Carenow Urgent Care PLLC

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1083154207
  NPD (past)
• St. David's Carenow Urgent Care PLLC

  • Family Medicine Physician
  • Austin, TX
  • NPI 1851844104
  NPD (past)
• Somerset Emergency Medical Associates LLC

  • Emergency Medicine Physician
  • Somerville, NJ
  • NPI 1942450051
  NPD (past)

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1265719868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9955 BRICEWOOD HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782541991",
            "telephone_number": "908-295-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 MCCULLOUGH AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78212",
            "telephone_number": "210-757-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Gove St",
            "address_2": "Emergency Room",
            "address_purpose": "LOCATION",
            "city": "East Boston",
            "state": "MA",
            "postal_code": "02128",
            "country_code": "US",
            "telephone_number": "617-568-4471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9234 N Loop 1604 W Ste 110",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782492981",
            "country_code": "US",
            "telephone_number": "210-257-0736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSOMANDO",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-10",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "5487",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00263900",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brody D Rossato
• Cole Rossato, IONM
• Aaron R. Rossett, ACNP
• Christina Rossetti Perdikis, PA
• Sarah Elizabeth Rossi, M.S., OTR/L
• Melissa Reed Rosson, D.D.S.
• Adrienne Roth
• Joseph Roth
• Joyce Marie Roth, COTA
• Michael E Roth, DPM

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.