Eddie Tatsuo Matsu, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

E3060 Issued in TX

Practice address

1201 Brooks St
Sugar Land, TX 77478-3835

Phone

(281) 690-4678

NPI assigned

Oct 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1831187889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BROOKS ST",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783835",
            "telephone_number": "281-690-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROOKS ST",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783835",
            "telephone_number": "281-690-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSU",
        "first_name": "EDDIE",
        "middle_name": "TATSUO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "E3060",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "E3060",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134233910",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "610119705",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00777068",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134233909",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01142161",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134233908",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134233911",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8BP176",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ritesh Anjani Mathur, M.D.
• Shelly Mathur, M.D.
• Jon A Mathy, M.D.
• Matrix Rehabilitation-Texas, Inc.
• Sara Nicole Matschek, PT
• Marian Anita Matsu, RN/LSA
• Vlada Matytsin, D.D.S
• Mauricio a Reinoso
• Mauricio a Reinoso MD PA
• Timothy Mark Mavergeorge, MA, LPC, LMFT, LCDC

• Orthopaedic Surgery Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.