Individual provider Active NPI

Charles Matteson Sloan Jr., MD

  • Anesthesiology Physician
  • Plano, TX
National Provider Identifier
1528076999
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G5619 Issued in TX
Practice address
3901 W 15TH St
Plano, TX 75075-7738
Phone
(469) 326-0014
Fax
(469) 326-0015
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G5619 TX Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X G5619 TX

Addresses

Primary practice location

3901 W 15TH St
Plano, TX 75075-7738

Mailing address

P.O. Box 670367
Dallas, TX 75367
Phone (469) 458-3872

Other names 1

  • Matt Sloan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 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
I20040714000436 TX Practitioner - AnesthesiologyPractitioner - Pain Management 7911985015 Reassigns benefits to 7 organizations
I20230919003137 WA Practitioner - Anesthesiology 7911985015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Texas a & M University System, HSC, College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Wa Anesthesia Services, PCGroup PAC ID 9335298884, 85 clinicians
Trinity Medical Associates PLLCGroup PAC ID 4587926357, 17 clinicians

Practice addresses (Care Compare)

1321 Colby Ave
Everett, WA 98201-1665
Phone (914) 491-9495

750 12TH Ave
Fort Worth, TX 76104-2531
Phone (817) 529-2620

Hospital & facility affiliations

  • Legent Orthopedic Hospital Hospital, Grapevine, TX, CCN 670265
  • Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014
  • Ut of Texas Southwestern University Hospital - William P. Clements Jr. Hospital, Dallas, TX, CCN 450044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G5619TXMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Texas Anesthesia Consultants PLLC Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
Optima Anesthesia PLLC Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
Providence Wa Anesthesia Services, P.C. Anesthesiology CurrentSince Aug 14, 2023 Accepting new patients
Baylor College of Medicine Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2022 Accepting new patients
Sound Physicians Anesthesiology of Texas PLLC Anesthesiology CurrentSince Apr 1, 2022 Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince Oct 25, 2022 Accepting new patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Physicians and Allied Health Professionals Group, PA Pain Medicine Past Accepting new patients
Matt T. Gubert, PA Anesthesiology PastSince Mar 3, 2024 Accepting new patients
Pain Net Physicians Group, P.a. Past Accepting new patients

Locations

450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

8111 Meadow Rd
Dallas, TX 75231
Phone (214) 471-5975

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

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

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

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

400 Chisholm Pl
Ste 114
Plano, TX 75075
Phone (972) 588-4541

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

1701 Ohio Dr
Plano, TX 75093
Phone (214) 291-3000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

2201 K Ave
Ste B100
Plano, TX 75074
Phone (214) 931-6133

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

Interoperability endpoints

  • Direct secure messaging: msloan@direct.uspi.com

Organizations & group practices 12

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 6

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1528076999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 670367",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75367",
            "telephone_number": "469-458-3872",
            "fax_number": "469-458-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757738",
            "telephone_number": "469-326-0014",
            "fax_number": "469-326-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "CHARLES",
        "middle_name": "MATTESON",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "G5619",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "G5619",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATT",
            "last_name": "SLOAN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.