Jose Antonio Matibag, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

244648 Issued in NY

Practice address

601 Gates Rd Ste 3
Vestal, NY 13850-2288

Phone

(813) 496-1075

Fax

(607) 772-1223

NPI assigned

Jun 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Anesthesiology

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ophthalmic Anesthesiology Consultants of Arizona PLLCGroup PAC ID 2365709847, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

58.09 of 100Reported as group

Quality

16.17

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Ophthalmic Anesthesiology Consultants of Arizona PLLC

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1598277832
  Medicare reassignment Care Compare group NPD
• Scottsdale Anesthesia Group,LLC

  • Anesthesiology Physician
  • Scottsdale, AZ
  • NPI 1194996272
  Medicare reassignment NPD
• North Tampa Anesthesia Consultants

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1144216433
  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1467657213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 HOMER AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451206",
            "telephone_number": "607-756-3764",
            "fax_number": "607-756-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GATES RD STE 3",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138502288",
            "telephone_number": "813-496-1075",
            "fax_number": "607-772-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIBAG",
        "first_name": "JOSE ANTONIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "244648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen M Marecek, PT
• Jacqueline Marie Markle, PHARMD
• David Martin, PT
• Angela Marie Marx, O.D.
• Louis Mateya, MD
• Matthew Lamphere Licensed Mental Health Counselor PLLC
• Tina A Maxian, MD
• Donna Statler McCall, MS OTRL
• Christian Joesph McCarville, RN, BSN
• Michael T. McCarville, M.D.

• Anesthesiology Physician in Vestal, NY
• Providers in Vestal, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.

Verify at the official NPI Registry.