Individual provider Active NPI

Kathryn Matzdorf, AUD

  • Audiologist
  • Austin, TX
National Provider Identifier
1922848845
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81620 Issued in TX
Practice address
6611 River Place Blvd Ste 301
Austin, TX 78730-1162
Phone
(512) 677-6368
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 81620 TX Primary

Addresses

Primary practice location

6611 River Place Blvd Ste 301
Austin, TX 78730-1162

Mailing address

4306 N Quinlan Park Rd Apt 1307
Austin, TX 78732-6042
Phone (301) 247-7497

Other practice location 1

1513 E New Hope Dr Bldg D
Cedar Park, TX 78641-5760
Phone (512) 267-6046

Other names 1

  • Katie Matzdorf Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240628000739 TX Practitioner - Qualified Audiologist 9537603717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breathe ENTGroup PAC ID 8123418001, 3 clinicians

Practice addresses (Care Compare)

1401 Medical Pkwy
Suite 407
Cedar Park, TX 78613-5015
Phone (512) 328-7722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81620TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
River ENT CurrentSince Jun 2, 2024 Accepting new patients
Breathe ENT CurrentSince Aug 1, 2024 Accepting new patients
ENT Specialists of Austin PA PastSince Aug 11, 2024 Accepting new patients

Locations

6611 River Place Blvd
Ste 301
Austin, TX 78730
Phone (512) 537-7730

1401 Medical Pkwy
Ste 407
Cedar Park, TX 78613
Phone (512) 328-7722

1401 Medical Pkwy
Ste 407
Cedar Park, TX 78613
Phone (512) 249-7190

1401 Medical Pkwy
Ste 307
Cedar Park, TX 78613
Phone (512) 346-7600

1401 Medical Pkwy
Ste 407B
Cedar Park, TX 78613
Phone (512) 407-1947

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1922848845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 N QUINLAN PARK RD APT 1307",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787326042",
            "telephone_number": "301-247-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 RIVER PLACE BLVD STE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301162",
            "telephone_number": "512-677-6368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1513 E New Hope Dr Bldg D",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786415760",
            "country_code": "US",
            "telephone_number": "512-267-6046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATZDORF",
        "first_name": "KATHRYN",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "MATZDORF",
            "credential": "AUD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.