Alice Y. Matoba, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G4486 Issued in TX

Practice address

6550 Fannin St
Suite 1501
Houston, TX 77030-2717

Phone

(713) 798-6100

Fax

(713) 798-4231

NPI assigned

Oct 18, 2005

Last updated

Nov 20, 2020By the provider in NPPES

Sex

Female

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 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Ophthalmology

Education

Yale University School of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor St Lukes Medical Center Hospital, Houston, TX, CCN 450193
• Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baylor College of Medicine

  dba BCM Physicians

  • Ph.D. Medical Genetics
  • Houston, TX
  • NPI 1881026664

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• Baylor College of Medicine

  dba HCHD Community Medicine

  • Family Medicine Physician
  • Houston, TX
  • NPI 1053352914
  Medicare reassignment NPD
• Baylor College of Medicine

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1104867175
  NPD
• Baylor College of Medicine

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1457423949
  NPD
• Baylor College of Medicine

  • Orthopaedic Surgery Physician
  • Sugar Land, TX
  • NPI 1700683844
  NPD
• Baylor College of Medicine

  dba Baylor College of Medicine Dept of Otolaryngology Head and Neck Cons

  • Otolaryngology Physician
  • Houston, TX
  • NPI 1093880437
  NPD (past)
• Baylor College of Medicine

  dba HCHD Internal Medicine

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1164463287
  NPD (past)

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

• CHI St. Luke's Health Baylor College of Medicine Medical Center

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1184622847
  Care Compare affiliation
• The Methodist Hospital

  dba Houston Methodist Hospital

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1548387418
  Care Compare affiliation

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1871582239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4771",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104771",
            "telephone_number": "713-798-6100",
            "fax_number": "713-798-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "SUITE 1501",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-798-6100",
            "fax_number": "713-798-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOBA",
        "first_name": "ALICE",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "G4486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136037203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "2224669",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136037202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "82W281",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amatoba11178@bcm.ghhdirect.net",
            "affiliation": "N",
            "address_1": "1977 Butler Blvd Fl 2",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770304101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Justin I Matin, LPC
• Surena F. Matin, M.D., F.A.C.S.
• Benjamin Matip, RN
• Kayla Michelle Matlock, PA
• Shaundralyn Alese Matlock, FNP
• John Charles Matocha, M.D.
• Linda Kay Matocha, O.D.
• Megan McCollough Matocha, O.D.
• Matoll Health Services Inc
• Anu A Matorin, M.D.

• Ophthalmology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.