Dean L Mattox II, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1052822A Issued in IN

Practice address

3250 Intertech Dr Ste a
Angola, IN 46703-7224

Phone

(260) 665-2646

Fax

(260) 665-8707

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Family Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cameron Memorial Community Hospital IncGroup PAC ID 9234020835, shared by 8 NPIs, 83 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elara Caring Home health agency, Fort Wayne, IN, CCN 157243
• Heartland Home Health (Fort Wayne) Home health agency, Fort Wayne, IN, CCN 157205
• Cameron Health Hospital, Angola, IN, CCN 151315
• Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021
• Parkview Dekalb Hospital Hospital, Auburn, IN, CCN 150045

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cameron Memorial Community Hospital, Inc

  • Family Medicine Physician
  • Angola, IN
  • NPI 1770521478
  Medicare reassignment NPD
• Cameron Memorial Community Hospital, Inc.

  • Critical Access Hospital
  • Angola, IN
  • NPI 1386683316
  Medicare reassignment NPD
• Cameron Memorial Community Hospital Inc

  • Rural Health Clinic/Center
  • Angola, IN
  • NPI 1326531179
  NPD (past)
• Fort Wayne Medical Education Program

  • Family Medicine Physician
  • Fort Wayne, IN
  • NPI 1184635153
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• A. C. & Associates, Inc.

  • Home Health Agency
  • Fort Wayne, IN
  • NPI 1013956440
  Care Compare affiliation
• Cameron Memorial Community Hospital, Inc.

  • Critical Access Hospital
  • Angola, IN
  • NPI 1386683316
  Care Compare affiliation
• Dekalb Memorial Hospital, Inc

  • General Acute Care Hospital
  • Auburn, IN
  • NPI 1902897937
  Care Compare affiliation
• East Rockets HH, LLC

  • Home Health Agency
  • Fort Wayne, IN
  • NPI 1588364806
  Care Compare affiliation
• Parkview Hospital, Inc.

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1366407603
  Care Compare affiliation

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1801828546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 INTERTECH DR STE A",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467037224",
            "telephone_number": "260-665-2646",
            "fax_number": "260-665-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 INTERTECH DR STE A",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467037224",
            "telephone_number": "260-665-2646",
            "fax_number": "260-665-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOX",
        "first_name": "DEAN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "1052822A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200187510A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayna March, LMHC
• Maeanna Marteen
• Andrea Martin, LPC
• Cherie Mathews, PTA
• Mattox Family Physicians, Inc
• Jerenid Maysone-Torres
• L. Colleen McCarthy, M.S.
• Carlene M McClurg, NP
• Lesli Overbey McElrath, M.A.
• Anna Raquel McFarland

• Family Medicine Physician in Angola, IN
• Providers in Angola, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.