Matthew Ayo
Individual provider Active NPI Surgery Physician · Alexandria, LA
NPI 1477909489 · NPPES record last updated Jul 6, 2021
Key facts
- NPI
- 1477909489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 312361 (LA)
- Practice address
- 6416 Tennyson Oaks LN
Alexandria, LA 71301-2762 - Phone
- (318) 794-9856
- NPI assigned
- May 9, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 8
Medicare Care Compare profile
- 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
- Allen Parish Hospital District No 3
Calcasieu Cameron Hospital Service District
Sulphur Surgical Clinc
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
- West Calcasieu Cameron Hospital
- Allen Parish Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 69 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 59 |
| Melanoma (skin cancer) excision | 12 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210709000541 | LA | Practitioner - General Surgery | 4284920885 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen Parish Hospital District No 3 | Current | Accepting new patients | |
| Calcasieu Cameron Hospital Service District | Current |
Accepting new patients | |
| Sulphur Surgical Clinc | Surgery | Current |
Accepting new patients |
| Calcasieu Cameron Hospital Service District | Current | Accepting new patients | |
| Allen Parish Hospital District No 3 | Surgery | Current |
Accepting new patients |
| Calcasieu Cameron Hospital Service District | Current |
Accepting new patients | |
| Allen Parish Hospital District No 3 | Current |
Accepting new patients | |
| Allen Parish Hospital District No 3 | Past | Accepting new patients | |
| Calcasieu Cameron Hospital Service District | Surgery | 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
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
701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270
Interoperability endpoints
- matthew.ayo.1@31660.direct.athenahealth.com
- https://fhir-usa.unify.chbase.com/org/allen-5c267a32
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 312361 | LA | Yes |
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
Other providers in Alexandria, LA
- Avoyelles Pediatrics
- Joseph D. Awotwi
- Axis Medical & Fitness Equipment
- David Nicholas Aymond
- Janell Aymond
- Mohammed Sadat Aziz
- B Martin Therapy Services LLC
- B'Yond Transportation Corp.
- Cynthia May Babb
- Troy A Babb
All providers in Alexandria, LA · Surgery Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.