Active NPI
Naomi R Mata, M.D.
- Family Medicine Physician
- Highlands Ranch, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0053583
- Practice address
- 9331 S Colorado Blvd
Suite 200
Highlands Ranch, CO 80126-7467 - Phone
- (303) 471-4711
- Fax
- (303) 471-4767
- NPI assigned
- Jul 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A109591 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 0053583 | CO | Primary |
Addresses
Primary practice location
9331 S Colorado Blvd
Suite 200
Highlands Ranch, CO 80126-7467
Mailing address
31349 Robinson Hill Rd
Golden, CO 80403-7754
Phone (312) 451-6261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- High Plains Community Health Center Incorporated
Practice addresses (Care Compare)
200 Kendall Dr
Lamar, CO 81052-3940
Phone (719) 336-6977
201 Kendall Dr
Lamar, CO 81052-3939
Phone (719) 336-0261
82 Main Ave
Akron, CO 80720-1440
Phone (970) 345-6336
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0053583 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New West Physicians Inc | Family Medicine | Current | Accepting new patients |
| New West Physicians Inc | Family Medicine | Current | Accepting new patients |
| Aspen Family Care, PLLC | Past | Accepting new patients |
Locations
1030 Johnson Rd
Ste 200
Golden, CO 80401
Phone (303) 278-4600
1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013
Interoperability endpoints
- naomi.mata.1@14566.direct.athenahealth.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- naomi.mata.1@30498.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Critical Access Hospital Clinic/Center
- Yuma, CO
- NPI 1841343407
-
- Family Medicine Physician
- Golden, CO
- NPI 1730797630
-
- Clinic/Center
- Highlands Ranch, CO
- NPI 1063565869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735344000000",
"number": "1548425408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31349 ROBINSON HILL RD",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804037754",
"telephone_number": "312-451-6261",
"fax_number": "312-451-6261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9331 S COLORADO BLVD",
"address_2": "SUITE 200",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801267467",
"telephone_number": "303-471-4711",
"fax_number": "303-471-4767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATA",
"first_name": "NAOMI",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-21",
"last_updated": "2024-12-28",
"certification_date": "2024-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A109591",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "0053583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.