Individual provider Active NPI

Sina Matin, M.D.

  • Surgery Physician
  • Grapevine, TX
National Provider Identifier
1366481228
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L0863 Issued in TX
Practice address
1056 Texan TRL
Grapevine, TX 76051-3703
Phone
(972) 254-9399
Fax
(817) 527-6610
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X L0863 TX Primary

Addresses

Primary practice location

1056 Texan TRL
Grapevine, TX 76051-3703

Mailing address

PO Box 204803
Dallas, TX 75320-4803
Phone (972) 254-9399

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smatin445026@direct.sw.org

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428001593 TX Practitioner - General Surgery 3375454622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Virginia Commonwealth University, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1650 W College St
Grapevine, TX 76051-3565
Phone (817) 388-3440

4001 Worth St
Dallas, TX 75246-1608

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563
  • Baylor Surgical Hospital at Las Colinas Hospital, Irving, TX, CCN 450874

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)38
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L0863TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Surgery Current Accepting new patients
Healthtexas Provider Network CurrentSince Mar 28, 2022 Accepting new patients
Healthtexas Provider Network Surgery CurrentSince Mar 28, 2022 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

1600 W College St
Ste 680
Grapevine, TX 76051
Phone (817) 481-9629

2005 W Park Dr
Ste 300
Irving, TX 75061
Phone (469) 800-1050

Interoperability endpoints

  • Direct secure messaging: sina.matin@surgicalgroupnt.directbygreenway.com
  • Direct secure messaging: smatin@direct.uspi.com
  • Direct secure messaging: smatin445026@direct.sw.org

Organizations & group practices 4

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 3

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1366481228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204803",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753204803",
            "telephone_number": "972-254-9399",
            "fax_number": "817-527-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 TEXAN TRL",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513703",
            "telephone_number": "972-254-9399",
            "fax_number": "817-527-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIN",
        "first_name": "SINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L0863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smatin445026@direct.sw.org",
            "affiliation": "N",
            "address_1": "1056 Texan Trl",
            "city": "Grapevine",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760513703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.