Individual provider Active NPI

Christina Liane Dunbar Matos, D.O.

  • Cardiovascular Disease Physician
  • Louisville, KY
National Provider Identifier
1487814281
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
03962 Issued in KY
Practice address
401 E Chestnut St Ste 1001
Louisville, KY 40202-5700
Phone
(502) 587-4384
NPI assigned
Jun 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0102205041 VA
Cardiovascular Disease Physician 207RC0000X 0102205041 VA
Nuclear Cardiology Physician 207UN0901X 0102205041 VA
Cardiovascular Disease Physician 207RC0000X 03962 KY Primary

Addresses

Primary practice location

401 E Chestnut St Ste 1001
Louisville, KY 40202-5700

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 569-7915

Other practice location 1

2001 Crystal Spring Ave SW Ste 203
Roanoke, VA 24014-2465
Phone (540) 982-8204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200629003599 KY Practitioner - Cardiovascular Disease (Cardiology) 8022255843 Reassigns benefits to 1 organization
I20220210000805 NE Practitioner - Advanced Heart Failure and Transplant Cardiology 8022255843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Advanced Heart Failure and Transplant Cardiology
Education
West Virginia School of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Practice addresses (Care Compare)

Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03962KYMDCardiovascular Disease Physician
0102205041VAMDNuclear Cardiology Physician
2510NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Jan 31, 2022 Accepting new patients
University of Louisville Physicians, Inc. Internal Medicine Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jun 15, 2020 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jun 15, 2020 Accepting new patients
The Nebraska Medical Center Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

401 E Chestnut St
Ste 1001
Louisville, KY 40202
Phone (502) 587-4384

201 Abraham Flexner Way
Ste 1001
Louisville, KY 40202
Phone (502) 589-6788

17405 Burke St
Ste 20118
Omaha, NE 68118

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

987400 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-3405

Interoperability endpoints

  • Direct secure messaging: cdunbarmatos94740@direct.carilionclinic.org
  • Direct secure messaging: cdunbarmatos168428@direct.nebraskamed.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1213488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1487814281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-569-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHESTNUT ST STE 1001",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402025700",
            "telephone_number": "502-587-4384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Crystal Spring Ave SW Ste 203",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240142465",
            "country_code": "US",
            "telephone_number": "540-982-8204",
            "fax_number": "540-224-1059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNBAR MATOS",
        "first_name": "CHRISTINA",
        "middle_name": "LIANE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-15",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102205041",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0102205041",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "VA",
            "license": "0102205041",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "03962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.