Active NPI
Matthew L Mattern, M.D.
- Diagnostic Radiology Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME107913
- Practice address
- 1350 S Hickory St
HRMC/Radiology Dept.
Melbourne, FL 32901-3224 - Phone
- (321) 434-7313
- Fax
- (321) 434-7238
- NPI assigned
- Jan 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME107913 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1350 S Hickory St
HRMC/Radiology Dept.
Melbourne, FL 32901-3224
Mailing address
PO Box 2400
Melbourne, FL 32902-2400
Phone (321) 434-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003692000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 725-4500
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000
1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Phone (321) 434-8000
701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585
Phone (321) 799-7111
8731 N Wickham Rd
Melbourne, FL 32940-5997
Phone (321) 434-9000
8745 N Wickham Rd
Melbourne, FL 32940-5997
Phone (321) 434-9000
Hospital & facility affiliations
- Viera Hospital
- Cape Canaveral Hospital
- Holmes Regional Medical Center
- Palm Bay Hospital
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.79 of 100
- Quality
- 86.5
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME107913 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Health First Medical Group, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Brevard Physician Associates, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Health First Physician Specialties Inc | Past | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
699 W Cocoa Beach Cswy
Ste 404
Cocoa Beach, FL 32931
Phone (321) 868-2778
701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931
Phone (321) 799-7111
730 Malabar Rd
Ste A
Malabar, FL 32950
Phone (321) 312-3467
1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
1130 Hickory St
Ste A
Melbourne, FL 32901
Phone (321) 409-1956
255 Borman Dr
Merritt Island, FL 32953
Phone (321) 434-4552
1425 Malabar Rd NE
Palm Bay, FL 32907
Phone (321) 434-8000
1855 Knox McRae Dr
Titusville, FL 32780
Phone (321) 269-2028
490 N Washington Ave
Titusville, FL 32796
Phone 32126842003506
7125 Murrell Rd
Ste F
Viera, FL 32940
Phone (321) 434-6555
8725 N Wickham Rd
Ste 200
Viera, FL 32940
Phone (321) 253-4673
7125 Murrell Rd
Ste B
Viera, FL 32940
Phone (321) 361-5588
Interoperability endpoints
- mmattern71365@epicdirect.hf.org
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1598008955
Diagnostic Radiology
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Diagnostic Radiology
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- North Hollywood, CA
- NPI 1750364345
FL
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Hunt Valley, MD
- NPI 1700865094
FL
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- Orthopaedic Trauma Physician
- Melbourne, FL
- NPI 1336390020
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375660800000",
"number": "1366627804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2400",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329022400",
"telephone_number": "321-434-4600",
"fax_number": "321-259-0635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 S HICKORY ST",
"address_2": "HRMC/RADIOLOGY DEPT.",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013224",
"telephone_number": "321-434-7313",
"fax_number": "321-434-7238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTERN",
"first_name": "MATTHEW",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-03",
"last_updated": "2013-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME107913",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003692000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.