NPIMap

Organization Active NPI

Matt T. Gubert, PA

  • Anesthesiology Physician
  • Plano, TX
National Provider Identifier
1336184845
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MATT T. GUBERT, PA
Practice address
400 Chisholm PL Ste 114
Plano, TX 75075-6957
Phone
(972) 588-4541
Fax
(469) 304-0139
NPI assigned
Jun 18, 2006
Last updated
Feb 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Dr. Matt T Gubert, MDNPI 1144263484
Title
Authorized Representative/Owner
Phone
(972) 588-4541

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
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

400 Chisholm PL Ste 114
Plano, TX 75075-6957

Mailing address

PO Box 224801
Dallas, TX 75222-4801
Phone (972) 588-4541

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051206000395 TX Part B Supplier - Clinic/Group Practice 9638199615 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX; Plano, TX; McKinney, TX; Frisco, TX; Allen, TX; Addison, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 46

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.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1336184845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 224801",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752224801",
            "telephone_number": "972-588-4541",
            "fax_number": "469-304-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CHISHOLM PL STE 114",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756957",
            "telephone_number": "972-588-4541",
            "fax_number": "469-304-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT T. GUBERT, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "GUBERT",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE/OWNER",
        "authorized_official_telephone_number": "972-588-4541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.