Individual provider Active NPI

Matthew Charles Fox, MD

  • MOHS-Micrographic Surgery Physician
  • Austin, TX
National Provider Identifier
1740471929
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
P2988 Issued in TX
Practice address
1601 Trinity St Stop 704
Austin, TX 78712-1865
Phone
(512) 324-7468
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4301091546 MI
Dermatology Physician 207N00000X P2988 TX
Procedural Dermatology Physician 207NS0135X 4301091546 MI
Procedural Dermatology Physician 207NS0135X P2988 TX
MOHS-Micrographic Surgery Physician 207ND0101X P2988 TX Primary

Addresses

Primary practice location

1601 Trinity St Stop 704
Austin, TX 78712-1865

Mailing address

1601 Trinity St Stop 704
Austin, TX 78712-1865

Other identifiers 1

IdentifierTypeStateIssuer
310279001MedicaidTX

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
I20121204000382 TX Practitioner - Dermatology 6406002518 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at Houston, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1101 Wolf Lake Dr
Georgetown, TX 78628-3778

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

1601 Trinity St
Stop 704
Austin, TX 78712-1865
Phone (512) 324-4373

5235 Overpass Rd
Buda, TX 78610-9753

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision64
Removal of skin lesions213
Removal of skin cancer433
Removal of nail tissue1-10
Skin biopsy90

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301091546MIMDProcedural Dermatology Physician
P2988TXMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas at Austin Dell Medical School CurrentSince Jul 1, 2019 Accepting new patients
Seton Family of Doctors CurrentSince Feb 1, 2014 Accepting new patients
University of Texas at Austin Dell Medical School CurrentSince Jul 1, 2019 Accepting new patients
Seton Family of Doctors CurrentSince Feb 1, 2014 Accepting new patients
Seton Family of Doctors Past Accepting new patients

Locations

1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737

4616 W Howard Ln
Austin, TX 78728
Phone (224) 558-8613

1601 Trinity St
Stop 704
Austin, TX 78712
Phone (512) 324-8300

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1400 Ih 35 N
Ste C2450
Austin, TX 78701
Phone (512) 324-7468

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

Interoperability endpoints

  • Direct secure messaging: matthew.fox.1@8363.direct.athenahealth.com

Organizations & group practices 5

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1740471929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 TRINITY ST STOP 704",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 TRINITY ST STOP 704",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121865",
            "telephone_number": "512-324-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "MATTHEW",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301091546",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P2988",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MI",
            "license": "4301091546",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "P2988",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "P2988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310279001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.