Active NPI
Mark Matus, MD
- Student in an Organized Health Care Education/Training Program
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1100 E 3Rd St
Chattanooga, TN 37403-2241 - Phone
- (423) 778-2957
- NPI assigned
- Mar 29, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1100 E 3Rd St
Chattanooga, TN 37403-2241
Mailing address
1100 E 3Rd St
Chattanooga, TN 37403-2241
Phone (423) 778-2957
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
612 Allerton Ave
Bronx, NY 10467-7404
Phone (718) 709-0940
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresh Meadows Physician Practice PLLC | Current | Accepting new patients | |
| Peyman Younesi MD PLLC | Current | Accepting new patients | |
| Medm LLC | Past | Accepting new patients |
Locations
147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204
612 Allerton Ave
Bronx, NY 10467
Phone (718) 519-4125
2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295
8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777
7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200
822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207
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.
-
- Internal Medicine Physician
- Fresh Meadows, NY
- NPI 1891053328
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1720775083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1780388165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 E 3RD ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032241",
"telephone_number": "423-778-2957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E 3RD ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032241",
"telephone_number": "423-778-2957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATUS",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-29",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
- Matthew W. McClanahan, DO, PLLC (Center for Insight Medicine)
- Sarah Elizabeth Matthews
- Alyssa Matulich, BSN, RN
- Maturecare of Standifer Place LLC (Adult Day Care @ Standifer Gap)
- Maturecare of Standifer Place LLC
- Sydney Jade Matyczynski
- Dennis C. Matzkin, M.D.
- Raymond Andrew Maucere, D.C.
- Gary Mauldin, LMFT
- Johnathan Matthew Mauldin, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.