Individual provider Active NPI

Naomi R Mata, M.D.

  • Family Medicine Physician
  • Highlands Ranch, CO
National Provider Identifier
1548425408
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0053583 Issued in CO
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

Updated by the provider on Dec 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221018000111 CO Practitioner - Family Practice 3072782978 Reassigns benefits to 2 organizations

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 IncorporatedGroup PAC ID 8527031533, shared by 3 NPIs, 23 clinicians
Yuma District HospitalGroup PAC ID 6305758830, 23 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0053583COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New West Physicians Inc Family Medicine CurrentSince Jun 25, 2022 Accepting new patients
New West Physicians Inc Family Medicine CurrentSince Jun 25, 2022 Accepting new patients
Aspen Family Care, PLLC PastSince Jul 1, 2022 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

  • Direct secure messaging: naomi.mata.1@14566.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.