Matthew Tyler Khosropour

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP09821 Issued in LA

Practice address

1110 E Saint Peter St
New Iberia, LA 70560-3932

Phone

(337) 364-1166

Fax

(337) 364-7090

NPI assigned

Mar 6, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hulin Urgent Care Services LLCGroup PAC ID 6800051285, 135 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations (25 of 32)

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.

• Hulin Urgent Care Services LLC

  • Urgent Care Clinic/Center
  • New Iberia, LA
  • NPI 1699049262
  Medicare reassignment Care Compare group NPD
• Southside Family Clinic LLC

  • Rural Health Clinic/Center
  • Abbeville, LA
  • NPI 1720508955
  Medicare reassignment
• Hulin Urgent Care Services LLC

  • Urgent Care Clinic/Center
  • Rayne, LA
  • NPI 1750055141
  NPD
• Hulin Urgent Care Services, LLC

  • Urgent Care Clinic/Center
  • Abbeville, LA
  • NPI 1043768716
  NPD
• Southside Family Clinic LLC

  • Rural Health Clinic/Center
  • Arnaudville, LA
  • NPI 1164112074
  NPD
• Ahs Walk in Clinic Inc

  • Urgent Care Clinic/Center
  • Youngsville, LA
  • NPI 1639234495
  NPD (past)

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1790287746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 PETROLEUM PKWY",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705188020",
            "telephone_number": "337-465-2159",
            "fax_number": "337-465-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E SAINT PETER ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603932",
            "telephone_number": "337-364-1166",
            "fax_number": "337-364-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOSROPOUR",
        "first_name": "MATTHEW",
        "middle_name": "TYLER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Kennedy
• Kennell P. Brown, Jr. DDS, Apdc
• Kenneth a, Ritter Jr. M.D., Apc
• Keys for Sober Living
• Keys for Sober Living, LLC
• Nanette Derouen Kibbe, MS SPEECH PATHOLOGY
• Craig Matthew Kidder I, MSHSA, ANP-C, RHIA
• Dwayne Kincade, DDS
• Brunette Marie King, MD
• Amanda Kipp

• Family Nurse Practitioner in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.