Matt Daniel Slatalla, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

209222 Issued in MA

Practice address

55 Fruit Street
CLN 309 Anesthesia Associates
Boston, MA 02114-2696

Phone

(617) 665-1630

Fax

(617) 665-1091

NPI assigned

Feb 9, 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 3

Medicare fee-for-service enrollment

Enrolled in MA

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

Anesthesiology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Martha'S Vineyard Hospital IncGroup PAC ID 9931166113, shared by 5 NPIs, 150 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Martha'S Vineyard Hospital Inc Hospital, Oak Bluffs, MA, CCN 221300

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: slatalla.matt.mvh@direct.partners.masshiway.net

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.

• Dha Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • Stoneham, MA
  • NPI 1730113325
  Medicare reassignment NPD
• Dha Endoscopy LLC

  • Anesthesiology Physician
  • Stoneham, MA
  • NPI 1851921555
  Medicare reassignment NPD
• Martha'S Vineyard Hospital, Inc.

  • Critical Access Hospital
  • Oak Bluffs, MA
  • NPI 1134206386
  Medicare reassignment NPD
• Martha'S Vineyard Hospital, Inc.

  • Internal Medicine Physician
  • Oak Bluffs, MA
  • NPI 1194866210

  Anesthesiology

  Medicare reassignment NPD
• Pratt Anesthesiology Associates, Inc

  • Anesthesiology Physician
  • Boston, MA
  • NPI 1326085390
  Medicare reassignment NPD
• Martha'S Vineyard Hospital

  • Obstetrics & Gynecology Physician
  • Oak Bluffs, MA
  • NPI 1962465500
  NPD
• Cambridge Public Health Commission

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1487603585
  NPD (past)
• Cambridge Public Health Commission

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1932313228
  NPD (past)

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

• Martha'S Vineyard Hospital, Inc.

  • Critical Access Hospital
  • Oak Bluffs, MA
  • NPI 1134206386
  Care Compare affiliation

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1851364939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9142",
            "address_2": "MASS GENERAL PHYSICIAN ORGANIZATION",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021299142",
            "telephone_number": "617-724-0287",
            "fax_number": "617-726-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT STREET",
            "address_2": "CLN 309 ANESTHESIA ASSOCIATES",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-665-1630",
            "fax_number": "617-665-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATALLA",
        "first_name": "MATT",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "209222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "209222",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J24069",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0196037",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadia Sayigh Sladkey, CRNA
• Ronald Chester Slager III, PA-C
• Sara Slager
• Jaromir Slama, M.D.
• Priscilla J Slanetz, M.D.
• Edwin Slater Jr
• Maria G Slater, MD
• Reuben J Slater, B.MED.
• Sarah Elizabeth Slater, MD
• Eoin Slattery, MD

• Anesthesiology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Anesthesiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.