Active NPI
Paul C Mattox, PA-C
- Medical Physician Assistant
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 10000648A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300018336 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Urgent Care Centers, LLC | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Nora Urgent Care LLC | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Indiana University Health Urgent Care Centers, LLC | Current | Accepting new patients | |
| Riverview Hospital | Current | Accepting new patients | |
| Franciscan Physician Network | Current | 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
- pmattox@direct.iuhealth.org
- 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.
-
- Urgent Care Clinic/Center
- Greenwood, IN
- NPI 1750763819
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Family Medicine Physician
- Noblesville, IN
- NPI 1609074921
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225495716
-
- Urgent Care Clinic/Center
- Indianapolis, IN
- NPI 1033548896
-
- Urgent Care Clinic/Center
- Mishawaka, IN
- NPI 1366879009
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- Urgent Care Clinic/Center
- Brownsburg, IN
- NPI 1114302965
-
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
- NPI 1972273654
-
- Urgent Care Clinic/Center
- Indianapolis, IN
- NPI 1568932002
-
- Emergency Medicine Physician
- Logansport, IN
- NPI 1831233287
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.