David Matlock, MD
Individual provider Active NPI Family Medicine Physician · Mitchell, IN
NPI 1528053485 · NPPES record last updated Dec 18, 2020
Key facts
- NPI
- 1528053485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01057687A (IN)
- Practice address
- 105 Teke Burton Dr
Mitchell, IN 47446-1208 - Phone
- (812) 849-3408
- Fax
- (812) 849-5630
- NPI assigned
- Sep 16, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Indiana University Health Southern Indiana Physicians LLC
Iu Health Medical Group LLC
Practice addresses (Care Compare)
105 Teke Burton Dr
Mitchell, IN 47446-1208
Phone (888) 484-3258
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
707 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258
719 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258
727 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258
Hospital & facility affiliations
- Hoosier Uplands Home Health Care
- Amedisys Home Health
- Indiana University Health Bedford Hospital
- Indiana University Health Paoli Hospital
- Indiana University Health Bloomington Hospital
- Indiana University Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20041006001203 | IN | Practitioner - Family Practice | 0648239558 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current |
Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
2900 16th St
Bedford, IN 47421
Phone (812) 275-1200
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
105 Teke Burton Dr
Mitchell, IN 47446
Phone (812) 849-3408
Interoperability endpoints
- dmatlock@yourcarecommunity.org
- dmatlock1@direct.iuhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01057687A | IN | Yes |
Addresses
Primary practice location
105 Teke Burton Dr
Mitchell, IN 47446-1208
Mailing address
105 Teke Burton Dr
Mitchell, IN 47446-1208
Phone (812) 849-3408
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200421390 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | DMATLOCK1@direct.iuhealth.org |
Other providers in Mitchell, IN
- Kelsey Lepore
- Ava Lohrig
- Carrie Marshall
- Holly Nicole Mathias
- Stacy Mathias
- Spencer R Maudlin
- Alicia McCart
- Kelsey McComb
- Joslynn McFarland
- Magnolia McFarland
All providers in Mitchell, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2020. 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.