Individual provider Active NPI

Matthew S Ivey, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sugar Land, TX
National Provider Identifier
1316069990
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1825 Issued in TX
Practice address
1602 Parkway Blvd
Sugar Land, TX 77478-3425
Phone
(713) 979-3343
Fax
(855) 592-3269
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1825 TX Primary

Addresses

Primary practice location

1602 Parkway Blvd
Sugar Land, TX 77478-3425

Mailing address

1602 Parkway Blvd
Sugar Land, TX 77478-3425
Phone (713) 979-3343

Other identifiers 7

IdentifierTypeStateIssuer
188879403MedicaidTX
188879405MedicaidTX
188879401MedicaidTX
P01026742OtherTXRAILROAD MEDICARE
188879402MedicaidTX
8G9747OtherTXBCBS PIN
188879404MedicaidTX

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070716000672 TX Practitioner - Podiatry 1254431554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1602 Pkwy Blvd
Sugar Land, TX 77478-3425
Phone (713) 979-3343

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue77
Removal of skin lesions1-10
Removal of nail tissue60
Removal or shaving of skin growth40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1825TXMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince May 1, 2014 Accepting new patients
Ut Physicians CurrentSince May 1, 2014 Accepting new patients
Lone Star Foot and Ankle Specialists Podiatrist CurrentSince Oct 1, 2023 Accepting new patients

Locations

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

21222 Kingsland Blvd
Katy, TX 77450
Phone (281) 344-1715

1517 Thompson Rd
Richmond, TX 77469
Phone (281) 344-1715

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

1602 Parkway Blvd
Sugar Land, TX 77478
Phone (281) 313-2255

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJICDD/Endpoint/JJICDD
  • Direct secure messaging: mivey13436@direct.uth.org
  • Direct secure messaging: mivey@direct.uspi.com

Organizations & group practices 3

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 2

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1316069990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 PARKWAY BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783425",
            "telephone_number": "713-979-3343",
            "fax_number": "855-592-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 PARKWAY BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783425",
            "telephone_number": "713-979-3343",
            "fax_number": "855-592-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVEY",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188879403",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188879405",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188879401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01026742",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188879402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "8G9747",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188879404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.