Matthew S Roberts, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA07367 Issued in TX

Practice address

560 US Highway 271 S
Gilmer, TX 75644-7651

Phone

(903) 680-8000

Fax

(903) 680-8001

NPI assigned

May 12, 2011

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthfast Medical PLLCGroup PAC ID 7315224284, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: matthew.roberts.1@26849.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/26849/brand/1/csg/1/fhir/r4

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.

• Healthfast Medical, PLLC

  • Medical Physician Assistant
  • Gilmer, TX
  • NPI 1598134579
  Medicare reassignment Care Compare group Authorized official
• GS Physician Services

  • Family Medicine Physician
  • Gladewater, TX
  • NPI 1356399406
  NPD (past)

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

• Christus Good Shepherd Medical Center

  • General Acute Care Hospital
  • Longview, TX
  • NPI 1124092036
  Care Compare affiliation

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1881986545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756440970",
            "telephone_number": "903-680-8000",
            "fax_number": "903-680-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 US HIGHWAY 271 S",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756447651",
            "telephone_number": "903-680-8000",
            "fax_number": "903-680-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Provider Partners
• Ramm Health Care Corporation
• Renal Care Group Texas, Inc.
• Renal Treatment Centers-Southeast, LP.
• Lacie Marie Roberts
• Shiloh Suzanne Roberts, O.D.
• Susan Mary Robinson, MS, NBC-HWC
• April Ross, RN
• Rucker S. Murry, MD
• Barbara Lea Schovanec, L.P.C.

• Physician Assistant in Gilmer, TX
• Providers in Gilmer, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.