Individual provider Active NPI

Matthew Scott Poole, PA-C

  • Medical Physician Assistant
  • Georgetown, TX
National Provider Identifier
1417525072
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1115 Westinghouse Rd Ste 100
Georgetown, TX 78626-3283
Phone
(512) 478-2273
Fax
(512) 472-0921
NPI assigned
Jun 10, 2021
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X TX Primary

Addresses

Primary practice location

1115 Westinghouse Rd Ste 100
Georgetown, TX 78626-3283

Mailing address

1401 Brixey CV
Austin, TX 78754-3921
Phone (318) 613-2599

Other practice location 1

1401 Philomena St Ste 175
Austin, TX 78723-3574
Phone (512) 478-2273

Other practice location 2

701 E Fm 1626 Ste 204
Austin, TX 78748-2892
Phone (512) 478-2273

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210828000283 TX Practitioner - Physician Assistant 8426453440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Louisiana State University School of Medicine in New Orleans, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive ENT Center of TexasGroup PAC ID 5092898056, 5 clinicians

Practice addresses (Care Compare)

1401 Philomena St
Suite 175
Austin, TX 78723-3574
Phone (512) 478-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hearing Center of Texas PA PastSince Jul 11, 2021 Accepting new patients
Mueller Surgery Center LLC PastSince Jul 11, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13346/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mpoole@drleeman.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1417525072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 BRIXEY CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787543921",
            "telephone_number": "318-613-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WESTINGHOUSE RD STE 100",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786263283",
            "telephone_number": "512-478-2273",
            "fax_number": "512-472-0921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Philomena St Ste 175",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787233574",
            "country_code": "US",
            "telephone_number": "512-478-2273",
            "fax_number": "512-472-0921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E Fm 1626 Ste 204",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787482892",
            "country_code": "US",
            "telephone_number": "512-478-2273",
            "fax_number": "512-472-0921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOLE",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.