Alexis Matteau, M.D., M.SC.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

250868 Issued in MA

Practice address

75 Francis St
Boston, MA 02115-6110

Phone

(617) 285-0008

NPI assigned

Jul 19, 2012

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1861747404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BOYLSTON ST APT 2437",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672027",
            "telephone_number": "617-285-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-285-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTEAU",
        "first_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "M.D., M.SC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MA",
            "license": "250868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lina Matta, PHARMD, MPH
• Leanne Mattaliano, MSN, NP-C
• Mattapan Community Health Center Inc
• Sandra Mattar, PSYD
• Amanda Matte, LICSW
• David E Mattei
• Elizabeth Gingold Matteo, M.S, RD, LDN
• Jennifer Ann Mattera, PHD
• Matthew P. Butler, D.P.M. LLC
• Matthew S. Ginsburg, D.M.D., P.C.

• Interventional Cardiology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Interventional Cardiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.