Individual provider Active NPI

Sarah Elizabeth Matt, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Austin, TX
National Provider Identifier
1801055587
Registry record updated Sep 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
P3649 Issued in TX
Practice address
6448 E Hwy 290
Suite # D-103
Austin, TX 78723-1068
Phone
(512) 452-2100
Fax
(512) 452-2106
NPI assigned
Jun 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD038710 DC
General Practice Physician 208D00000X P3649 TX
Geriatric Medicine (Internal Medicine) Physician 207RG0300X P3649 TX Primary

Addresses

Primary practice location

6448 E Hwy 290
Suite # D-103
Austin, TX 78723-1068

Mailing address

6448 E Hwy 290
Suite # D-103
Austin, TX 78723-1068
Phone (512) 452-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD038710DCMDGeneral Practice Physician
P3649TXMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347148800000",
    "number": "1801055587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6448 E HWY 290",
            "address_2": "SUITE # D-103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231068",
            "telephone_number": "512-452-2100",
            "fax_number": "512-452-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6448 E HWY 290",
            "address_2": "SUITE # D-103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231068",
            "telephone_number": "512-452-2100",
            "fax_number": "512-452-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATT",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2012-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DC",
            "license": "MD038710",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "P3649",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "P3649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.