NPIMap

Individual provider Active NPI

Matthew Ayo

  • Surgery Physician
  • Alexandria, LA
National Provider Identifier
1477909489
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
312361 Issued in LA
Practice address
6416 Tennyson Oaks LN
Alexandria, LA 71301-2762
Phone
(318) 794-9856
NPI assigned
May 9, 2016
Last updated
Jul 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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 312361 LA Primary

Addresses

Primary practice location

6416 Tennyson Oaks LN
Alexandria, LA 71301-2762

Mailing address

914 Cypress St
Sulphur, LA 70663-5107
Phone (318) 794-9856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210709000541 LA Practitioner - General Surgery 4284920885 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Louisiana State University School of Medicine in Shreveport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sulphur Surgical ClincGroup PAC ID 7911951546, 5 clinicians

Practice addresses (Care Compare)

108 6TH Ave
Kinder, LA 70648-3187
Phone (337) 738-2527

703 Cypress St
Suite a
Sulphur, LA 70663-5053
Phone (337) 310-0395

914 Cypress St
Sulphur, LA 70663-5107
Phone (337) 527-6363

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy69
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux59
Melanoma (skin cancer) excision12
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
312361LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sulphur Surgical Clinc Surgery CurrentSince Aug 1, 2021 Accepting new patients
Calcasieu Cameron Hospital Service District Current Accepting new patients
Calcasieu Cameron Hospital Service District CurrentSince Aug 1, 2021 Accepting new patients
Calcasieu Cameron Hospital Service District CurrentSince Aug 1, 2021 Accepting new patients
Allen Parish Hospital District No 3 Surgery CurrentSince Nov 10, 2024 Accepting new patients
Allen Parish Hospital District No 3 CurrentSince Nov 10, 2024 Accepting new patients
Allen Parish Hospital District No 3 Current Accepting new patients
Calcasieu Cameron Hospital Service District Surgery Past Accepting new patients
Allen Parish Hospital District No 3 Past Accepting new patients
Calcasieu Cameron Hospital Service District Past Accepting new patients

Locations

1020 Main St
Hackberry, LA 70645
Phone (337) 762-3762

108 6th Ave
Kinder, LA 70648
Phone (337) 738-2527

108 6th Ave
Bldg B
Kinder, LA 70648
Phone (337) 738-4670

108 6th Ave
Ste 3
Kinder, LA 70648

1920 W Sale Rd
Ste 5
Lake Charles, LA 70605
Phone (337) 474-8994

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

703 Cypress St
Sulphur, LA 70663
Phone (337) 310-9511

703 Cypress St
Ste A
Sulphur, LA 70663
Phone (337) 310-0395

914 Cypress St
Sulphur, LA 70663
Phone (337) 527-6363

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/allen-5c267a32
  • Direct secure messaging: matthew.ayo.1@31660.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1477909489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 CYPRESS ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635107",
            "telephone_number": "318-794-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 TENNYSON OAKS LN",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713012762",
            "telephone_number": "318-794-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYO",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-09",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "312361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.