Robert John Matejka, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

319892-1204 Issued in UT

Practice address

3460 Pioneer Pkwy
West Valley, UT 84120-2049

Phone

(801) 993-9526

Fax

(801) 733-5618

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

92.68 of 100Reported as group

Quality

98.84

Improvement activities

40

Cost

77.15

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Institute of Utah Inc

  dba The Eye Institute of Utah

  • Ophthalmology Physician
  • Salt Lake City, UT
  • NPI 1366515041
  NPD
• Intermountain Anesthesia Consultants LLC

  • Anesthesiology Physician
  • West Jordan, UT
  • NPI 1205865029
  NPD (past)
• Utah Pain Management PC

  • Anesthesiology Physician
  • Ogden, UT
  • NPI 1598778581
  NPD (past)
• Wasatch Anesthesia Inc.

  • Anesthesiology Physician
  • West Valley City, UT
  • NPI 1982616843
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1669577573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 POWDERKEG DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840931784",
            "telephone_number": "801-944-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 PIONEER PKWY",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841202049",
            "telephone_number": "801-993-9526",
            "fax_number": "801-733-5618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 E 3900 S",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841072176",
            "country_code": "US",
            "telephone_number": "801-263-5715",
            "fax_number": "801-263-5774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATEJKA",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "319892-1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY U",
            "identifier": "700",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "224510",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "607111900",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020088",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "PRA01843",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESERET MUTUAL",
            "identifier": "609345",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC",
            "identifier": "107007846103",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "81627",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cadence Makinson
• Mark Maness
• Emma Manning
• Lisa Manwaring
• Nancy Martinez
• Shawnery Mathis
• Kaylie Lynn McCusker
• Skylar McCutcheon, AMFT
• Matt McDermott
• Janine Marie McDonald, ARNP

• Anesthesiology Physician in West Valley, UT
• Providers in West Valley, UT by specialty
• Anesthesiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.

Verify at the official NPI Registry.