Individual provider Active NPI

Mary Matyi, MD

  • Anesthesiology Physician
  • Pensacola, FL
National Provider Identifier
1427394030
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME131746 Issued in FL
Practice address
4400 Bayou Blvd Ste 16C
Pensacola, FL 32503
Phone
(850) 477-7042
NPI assigned
Dec 31, 2012
Last updated
Aug 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME131746 FL Primary

Addresses

Primary practice location

4400 Bayou Blvd Ste 16C
Pensacola, FL 32503

Mailing address

4400 Bayou Blvd Ste 16C
Pensacola, FL 32503-1907
Phone (850) 477-7042

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170719002279 FL Practitioner - Anesthesiology 3577833870 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Mississippi School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pensacola Lung Group, M.D.'S, P.a.Group PAC ID 7517928062, 31 clinicians
Ams Sacred Heart LLCGroup PAC ID 5395995427, 6 clinicians

Practice addresses (Care Compare)

4700 Bayou Blvd
Suite 6
Pensacola, FL 32503-1901
Phone (850) 477-9253

5151 N 9TH Ave
Pensacola, FL 32504-8721
Phone (850) 202-4700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ams Sacred Heart LLC Anesthesiology CurrentSince Nov 1, 2021 Accepting new patients
Ams Anesthetist Services LLC Anesthesiology CurrentSince Jul 1, 2017 Accepting new patients
Panhandle Anesthesiology Associates PA Anesthesiology Past Accepting new patients

Locations

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

Organizations & group practices 5

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 1

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": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1427394030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BAYOU BLVD STE 16C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031907",
            "telephone_number": "850-477-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BAYOU BLVD STE 16C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32503",
            "telephone_number": "850-477-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATYI",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME131746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.