NPIMap

Individual provider Active NPI

Samuel Robert Matz, MD

  • Family Medicine Physician
  • Missoula, MT
National Provider Identifier
1356963482
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MED-PHYS-LIC-118389 Issued in MT
Practice address
1211 S Reserve St Ste 101
Missoula, MT 59801-3103
Phone
(406) 327-3057
Fax
(406) 327-3231
NPI assigned
May 12, 2020
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MED-PHYS-LIC-118389 MT Primary

Addresses

Primary practice location

1211 S Reserve St Ste 101
Missoula, MT 59801-3103

Mailing address

1211 S Reserve St Ste 101
Missoula, MT 59801-3103
Phone (406) 327-3057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231016000956 MT Practitioner - Family Practice 0244658466 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oregon Health Sciences University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians
Cogent Healthcare of Montana P CGroup PAC ID 4486712833, 82 clinicians

Practice addresses (Care Compare)

1211 S Reserve St
Suite 101
Missoula, MT 59801-3103
Phone (406) 327-3057

2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 728-4100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-118389MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Montana P C Family Medicine CurrentSince Nov 23, 2024 Accepting new patients
Providence Health & Services Mt Current Accepting new patients
Providence Health & Services Mt Family Medicine CurrentSince Aug 11, 2025 Accepting new patients
RCHP Billings - Missoula LLC Current Accepting new patients
Providence Health & Services Mt CurrentSince Aug 11, 2025 Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Sep 3, 2023 Accepting new patients
RCHP Billings - Missoula LLC Past Accepting new patients
Providence Health & Services Mt Past Accepting new patients

Locations

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1211 S Reserve St
Ste 101
Missoula, MT 59801
Phone (406) 327-3057

2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533

2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

2827 Fort Missoula Rd
Ste 146
Missoula, MT 59804

2831 Fort Missoula Rd
Ste 146
Missoula, MT 59804
Phone (406) 327-3850

500 W Broadway St
Ste 320
Missoula, MT 59802

Interoperability endpoints

  • Direct secure messaging: sr1183301@wm.providencedirect.org

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1356963482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S RESERVE ST STE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013103",
            "telephone_number": "406-327-3057",
            "fax_number": "406-327-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S RESERVE ST STE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013103",
            "telephone_number": "406-327-3057",
            "fax_number": "406-327-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZ",
        "first_name": "SAMUEL",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-12",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-118389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.