Individual provider Active NPI

Linda Fonseca Matthews, M.D.

  • Maternal & Fetal Medicine Physician
  • Longmont, CO
National Provider Identifier
1609801646
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
DR.0062096 Issued in CO
Practice address
1950 Mountain View Ave
Longmont, CO 80501-3129
Phone
(303) 678-4812
Fax
(303) 678-4812
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L7379 TX
Maternal & Fetal Medicine Physician 207VM0101X L7379 TX
Maternal & Fetal Medicine Physician 207VM0101X DR.0062096 CO Primary

Addresses

Primary practice location

1950 Mountain View Ave
Longmont, CO 80501-3129

Mailing address

801 W 34TH St Ste 100
Austin, TX 78705-1157
Phone (512) 459-1131

Other practice location 1

801 W 34th St Ste 100
Austin, TX 78705-1157
Phone (512) 459-1131

Other identifiers 2

IdentifierTypeStateIssuer
166111801MedicaidTX
8H3603OtherTXBCBS

Other names 1

  • Linda Fonseca Other name

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
I20190607000526 CO Practitioner - Obstetrics/Gynecology 7618949330 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at Houston, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Medical Group Denver LLCGroup PAC ID 0840513552, 571 clinicians

Practice addresses (Care Compare)

1960 N Ogden St
Denver, CO 80218-3669

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Obstetrics & Gynecology Current Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jun 1, 2019 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Aug 9, 2020 Accepting new patients
Saint Joseph Hospital, Inc Obstetrics & Gynecology Current Accepting new patients
Saint Joseph Hospital, Inc CurrentSince Jun 1, 2019 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Obstetrics & Gynecology CurrentSince Jun 1, 2019 Accepting new patients
Intermountain Front Range, Inc. CurrentSince Jun 1, 2019 Accepting new patients
Intermountain Front Range, Inc. CurrentSince Jun 1, 2019 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Aug 9, 2020 Accepting new patients
Intermountain Front Range, Inc. Current Accepting new patients
Ut Physicians Obstetrics & Gynecology Past Accepting new patients
University Physicians, Incorporated Past Accepting new patients
St Mary'S Hospital and Medical Center, Inc Past Accepting new patients
Ut Physicians Past Accepting new patients

Locations

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

1960 N Ogden St
Ste 330
Denver, CO 80218
Phone (303) 318-2610

12905 W 40th Ave
Ste 420
Golden, CO 80401
Phone (303) 265-5670

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

710 Wellington Ave
Grand Junction, CO 81501
Phone (970) 298-7106

300 Exempla Cir
Ste 470
Lafayette, CO 80026
Phone (303) 665-6016

3210 Lutheran Pkwy
Wheat Ridge, CO 80033
Phone (303) 425-8000

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

3455 Lutheran Pkwy
Ste 210
Wheat Ridge, CO 80033
Phone (303) 403-6580

Organizations & group practices 17

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 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1609801646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W 34TH ST STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051157",
            "telephone_number": "512-459-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 MOUNTAIN VIEW AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013129",
            "telephone_number": "303-678-4812",
            "fax_number": "303-678-4812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 W 34th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051157",
            "country_code": "US",
            "telephone_number": "512-459-1131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "LINDA",
        "middle_name": "FONSECA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L7379",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "L7379",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CO",
            "license": "DR.0062096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166111801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8H3603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "FONSECA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.