Luis Abraham Mata, M.D,

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

R9252 Issued in TX

Practice address

1111 Hawkins Blvd Ste 2a
El Paso, TX 79925-6400

Phone

(915) 771-8346

Fax

(915) 771-8347

NPI assigned

May 26, 2011

Last updated

Nov 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, FL, NM3 enrollments

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 3

Specialty

Vascular Surgery

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Joseph B Furlong PAGroup PAC ID 1759381395, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.12 of 100Reported as individual

Quality

71.74

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

99.52 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

85.16

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: lmata296148@direct.tgh.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Joseph B. Furlong, P.a.

  dba Physician's Vascular Services

  • Specialist
  • El Paso, TX
  • NPI 1154356087

  NM

  Medicare reassignment Care Compare group
• Thomas M. Kerr MD PA

  • Vascular Surgery Physician
  • Tampa, FL
  • NPI 1790771970
  Medicare reassignment NPD
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Sweet Dreams Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Chattanooga, TN
  • NPI 1508133497
  NPD (past)

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1861785503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 HAWKINS BLVD STE 2A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799256400",
            "telephone_number": "915-771-8346",
            "fax_number": "915-771-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HAWKINS BLVD STE 2A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799256400",
            "telephone_number": "915-771-8346",
            "fax_number": "915-771-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATA",
        "first_name": "LUIS",
        "middle_name": "ABRAHAM",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10040259",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "140604",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "R9252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Masten, DMD
• Masvida Health Care Solutions LLC (JMeds)
• Bethany Awbrey Mata, RD, LD
• Isabel Mata, RBT
• Lorraine Michelle Mata
• Robin Mata, SLP ASSISTANT
• Shirley Ann Mata, D.C
• Matern-All PA
• Mathew & Kurian Physician Services PLLC
• Jitin Varghese Mathew, B.D.S., M.D.S., M.S.

• Vascular Surgery Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Vascular Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.