Individual provider Active NPI

Nicholas Stephen Matas, MD

  • Cardiovascular Disease Physician
  • Hyannis, MA
National Provider Identifier
1669419016
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
79688 Issued in MA
Practice address
46 North St
Suite 6
Hyannis, MA 02601-3845
Phone
(508) 778-4888
Fax
(508) 778-4887
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 79688 MA Primary
Interventional Cardiology Physician 207RI0011X 79688 MA

Addresses

Primary practice location

46 North St
Suite 6
Hyannis, MA 02601-3845

Mailing address

46 North St
Suite 6
Hyannis, MA 02601-3845
Phone (508) 778-4888

Other identifiers 3

IdentifierTypeStateIssuer
1669419016OtherMAUNICARE
1669419016OtherMAMEDICARE ID- TYPE UNSPECIFIED
1669419016OtherMAGREAT WEST HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20220930000441 HI Practitioner - Cardiovascular Disease (Cardiology) 6103860820 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Permanente Medical Group Inc CurrentSince Apr 10, 2023 Accepting new patients
Physicians of Cape Cod Hospital Cardiovascular Disease Past Accepting new patients
Cardiology Specialists of the Carolinas, PA Cardiovascular Disease Past Accepting new patients
M Hatfield Cardiology Cardiovascular Disease PastSince Jul 1, 2013 Accepting new patients

Locations

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

74-517 Honokohau St
Kailua Kona, HI 96740
Phone (808) 334-4400

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1669419016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 NORTH ST",
            "address_2": "SUITE 6",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013845",
            "telephone_number": "508-778-4888",
            "fax_number": "508-778-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 NORTH ST",
            "address_2": "SUITE 6",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013845",
            "telephone_number": "508-778-4888",
            "fax_number": "508-778-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATAS",
        "first_name": "NICHOLAS",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "79688",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MA",
            "license": "79688",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "1669419016",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID- TYPE UNSPECIFIED",
            "identifier": "1669419016",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST HEALTHCARE",
            "identifier": "1669419016",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.