Individual provider Active NPI

Matthew Torre

  • Anatomic Pathology Physician
  • Houston, TX
National Provider Identifier
1508240342
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
V1632 Issued in TX
Practice address
1504 Taub Loop
Houston, TX 77030-1608
Phone
(713) 798-1750
NPI assigned
Jul 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuropathology Physician 207ZN0500X V1632 TX
Anatomic Pathology Physician 207ZP0101X 263811 MA
Anatomic Pathology Physician 207ZP0101X 277735 MA
Anatomic Pathology Physician 207ZP0101X V1632 TX Primary

Addresses

Primary practice location

1504 Taub Loop
Houston, TX 77030-1608

Mailing address

1 Baylor PLZ # 2Gr900
Houston, TX 77030-3411
Phone (713) 798-1750

Other practice location 1

75 Francis St
Department of Pathology
Boston, MA 02115-6110
Phone (617) 732-5500

Other practice location 2

300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX2 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
I20200203001799 MA Practitioner - Pathology 2365756780 Reassigns benefits to 2 organizations
I20240618000963 TX Practitioner - Pathology 2365756780 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V1632TXMDNeuropathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Pathology Foundation, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Baylor College of Medicine CurrentSince Jun 6, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Jun 6, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Jun 6, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Jun 6, 2024 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Jan 7, 2020 Accepting new patients
Baylor College of Medicine Neuropathology CurrentSince Jun 15, 2024 Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

75 Francis St
Boston, MA 02115

375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010

1115 Avenue G
Bay City, TX 77414
Phone (979) 245-6383

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

1504 Taub Loop
#621
Houston, TX 77030

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

1 Baylor Plz
#2
Houston, TX 77030

481 Ih 45 S
Ste 7
Huntsville, TX 77340
Phone (409) 291-9704

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1508240342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAYLOR PLZ # 2GR900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303411",
            "telephone_number": "713-798-1750",
            "fax_number": "617-394-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 TAUB LOOP",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301608",
            "telephone_number": "713-798-1750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Francis St",
            "address_2": "Department of Pathology",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156110",
            "country_code": "US",
            "telephone_number": "617-732-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155724",
            "country_code": "US",
            "telephone_number": "617-355-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRE",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-10",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZN0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Neuropathology",
            "state": "TX",
            "license": "V1632",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MA",
            "license": "263811",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MA",
            "license": "277735",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "TX",
            "license": "V1632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.