Individual provider Active NPI

John Charles Matocha, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1689754632
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F4253 Issued in TX
Practice address
123 N Post Oak LN
Suite 420
Houston, TX 77024-7715
Phone
(713) 680-2611
Fax
(713) 680-2303
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F4253 TX Primary
Public Health & General Preventive Medicine Physician 2083P0901X F4253 TX

Addresses

Primary practice location

123 N Post Oak LN
Suite 420
Houston, TX 77024-7715

Mailing address

123 N Post Oak LN
Suite 420
Houston, TX 77024-7715
Phone (713) 680-2611

Other identifiers 1

IdentifierTypeStateIssuer
F4253OtherTXMEDICAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120315000813 TX Practitioner - Family PracticePractitioner - General PracticePractitioner - Preventive Medicine 9436167434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
University of Texas Medical School at Houston, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

123 N Post Oak LN
Suite 420
Houston, TX 77024-7785
Phone 7136802611233

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Health Solutions PLLC- Greater Houston Series CurrentSince Mar 1, 2019 Accepting new patients
Houstonian Medical Associates PA Family Medicine CurrentSince Jan 1, 1986 Accepting new patients
Providence Physician Associates PastSince Nov 22, 2020 Accepting new patients

Locations

123 N Post Oak Ln
Ste 420
Houston, TX 77024
Phone (713) 680-2611

9668 Westheimer Rd
Ste 600
Houston, TX 77063
Phone (713) 597-7770

Organizations & group practices 3

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.

Hospital & facility affiliations 9

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1689754632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N POST OAK LN",
            "address_2": "SUITE 420",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770247715",
            "telephone_number": "713-680-2611",
            "fax_number": "713-680-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N POST OAK LN",
            "address_2": "SUITE 420",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770247715",
            "telephone_number": "713-680-2611",
            "fax_number": "713-680-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOCHA",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F4253",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "TX",
            "license": "F4253",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "F4253",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.