Organization Active NPI

Matelda Healthcare LLC

  • Family Medicine Physician
  • Lewisville, TX
National Provider Identifier
1316817182
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MATELDA HEALTHCARE LLC
Practice address
860 Hebron Pkwy Ste 703
Lewisville, TX 75057-5145
Phone
(123) 456-7890
NPI assigned
Nov 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Eva DiamaNPI 1356146815
Title
Owner
Phone
(123) 456-7890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

860 Hebron Pkwy Ste 703
Lewisville, TX 75057-5145

Mailing address

860 Hebron Pkwy Ste 703
Lewisville, TX 75057-5145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260108000618 TX Part B Supplier - Clinic/Group Practice 9931685104 Receives reassigned benefits from 1 practitioner
Practice locations: Lewisville, TX

National Provider Directory

National Provider Directory

Locations

860 Hebron Pkwy
Ste 703
Lewisville, TX 75057
Phone (214) 455-5028

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1316817182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 HEBRON PKWY STE 703",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 HEBRON PKWY STE 703",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575145",
            "telephone_number": "123-456-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATELDA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "DIAMA",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "123-456-7890"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.