NPIMap

Individual provider Active NPI

Anil Matta, M.D.

  • Hospitalist Physician
  • Natchitoches, LA
National Provider Identifier
1871795674
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD.201438 Issued in LA
Practice address
501 Keyser Ave
Natchitoches, LA 71457-6018
Phone
(318) 214-4401
Fax
(318) 214-4493
NPI assigned
Jun 4, 2007
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.201438 LA
Hospitalist Physician 208M00000X MD.201438 LA Primary

Addresses

Primary practice location

501 Keyser Ave
Natchitoches, LA 71457-6018

Mailing address

PO Box 2009
Natchitoches, LA 71457-2009
Phone (318) 214-4401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070926001082 LA Practitioner - Family Practice 6507951258 Reassigns benefits to 5 organizations
Practice locations: Natchitoches, LA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matta Medical Clinic LLCGroup PAC ID 0749533396, 2 clinicians

Practice addresses (Care Compare)

130 E 5TH St
Natchitoches, LA 71457-5725

140 E 5TH St
Natchitoches, LA 71457-5725
Phone (318) 238-5990

501 Keyser Ave
Natchitoches, LA 71457-6018
Phone (318) 214-4200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue98
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.201438LAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Louisiana Inc CurrentSince Dec 29, 2017 Accepting new patients
Nes Louisiana Inc CurrentSince Dec 29, 2017 Accepting new patients
Matta Medical Clinic LLC Family Medicine CurrentSince Sep 12, 2018 Accepting new patients
Natchitoches Parish Hospital Service District Past Accepting new patients
Natchitoches Parish Hospital Service District Past Accepting new patients
Outpatient Medical Center, Inc. Family Medicine PastSince Jan 7, 2007 Accepting new patients
McLeod Radiological Services Inc Past Accepting new patients

Locations

140 E 5th St
Natchitoches, LA 71457
Phone (318) 238-5990

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

647 Bienville Cir
Natchitoches, LA 71457
Phone (318) 238-5990

Organizations & group practices 10

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1871795674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2009",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714572009",
            "telephone_number": "318-214-4401",
            "fax_number": "318-214-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 KEYSER AVE",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576018",
            "telephone_number": "318-214-4401",
            "fax_number": "318-214-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTA",
        "first_name": "ANIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.201438",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "MD.201438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

Verify at the official NPI Registry.