Individual provider Active NPI

Paul C Mattox, PA-C

  • Medical Physician Assistant
  • Bloomington, IN
National Provider Identifier
1568562007
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10000648A Issued in IN
Practice address
500 S Liberty Dr Ste 482
Bloomington, IN 47403-1924
Phone
(812) 918-5907
Fax
(812) 353-6888
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10000648A IN
Medical Physician Assistant 363AM0700X 10000648A IN Primary

Addresses

Primary practice location

500 S Liberty Dr Ste 482
Bloomington, IN 47403-1924

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1501 Hartford St
Lafayette, IN 47904-2134
Phone (765) 423-6011

Other practice location 2

7910 E Washington St Ste 110
Indianapolis, IN 46219
Phone (317) 355-3201

Other identifiers 1

IdentifierTypeStateIssuer
300018336MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pmattox@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040716000511 IN Practitioner - Physician Assistant 6608855259 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1036 Broad Ripple Ave
Indianapolis, IN 46220-2035
Phone (317) 759-9960

10853 E US Hwy 36
Iu Health Urgent Care LLC Avon
Avon, IN 46123-7981
Phone (225) 214-9352

222 W Michigan St
Iu Health Urgent Care LLC Downtow
Indianapolis, IN 46204-1254
Phone (225) 214-9352

326 S Woodcrest Dr
Bloomington, IN 47401-5314
Phone (812) 650-9550

482 S Liberty Dr
Bloomington, IN 47403-1927
Phone (812) 353-3443

90 E Garner Rd
Iu Health Urgent Care LLC
Brownsburg, IN 46112-9359
Phone (225) 214-1031

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Apr 1, 2023 Accepting new patients
Franciscan Physician Network CurrentSince Jan 15, 2024 Accepting new patients
Nora Urgent Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Feb 11, 2019 Accepting new patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Apr 1, 2023 Accepting new patients
Riverview Hospital CurrentSince Aug 1, 2020 Accepting new patients
Franciscan Physician Network CurrentSince Jan 15, 2024 Accepting new patients
Franciscan Physician Network Past Accepting new patients
Mid State Logansport Ed Physicians Past Accepting new patients
Wabash Em I Medical Services PC Physician Assistant Past Accepting new patients
Midwest Medical Management, P.C. Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

500 S Liberty Dr
Ste 482
Bloomington, IN 47403
Phone (812) 353-3443

326 S Woodscrest Dr
Bloomington, IN 47401
Phone (812) 353-6888

90 E Garner Rd
Brownsburg, IN 46112
Phone (225) 214-1031

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

5255 E Stop 11 Rd
Ste 300
Indianapolis, IN 46237
Phone (317) 528-4723

860 E 86th St
Ste 4
Indianapolis, IN 46240
Phone (317) 975-3441

7910 E Washington St
Ste 110
Indianapolis, IN 46219
Phone (317) 355-3200

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

7430 N Shadeland Ave
Ste 230
Indianapolis, IN 46250
Phone (317) 288-2456

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

1501 Hartford St
Lafayette, IN 47904
Phone (765) 423-6011

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

1199 Hadley Rd
Mooresville, IN 46158
Phone (317) 831-2273

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: pmattox@direct.iuhealth.org
  • Direct secure messaging: pmattox115643@ecommunitydirect.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1568562007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S LIBERTY DR STE 482",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474031924",
            "telephone_number": "812-918-5907",
            "fax_number": "812-353-6888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Hartford St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479042134",
            "country_code": "US",
            "telephone_number": "765-423-6011",
            "fax_number": "765-428-5851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7910 E Washington St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46219",
            "country_code": "US",
            "telephone_number": "317-355-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTOX",
        "first_name": "PAUL",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000648A",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10000648A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300018336",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmattox@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "500 S Liberty Dr Ste 482",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474031924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.