Luis Angel Matos, M.D., MBA

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

0101056392 Issued in VA

Practice address

1019A Vista Park Dr
Forest, VA 24551-4901

Phone

(434) 515-0419

Fax

(844) 693-9305

NPI assigned

May 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Allergy/Immunology

Education

University of Puerto Rico School of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sovah Health Danville Hospital, Danville, VA, CCN 490075

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: luis.matos.1@23696.direct.athenahealth.com

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.

• Indwell Health and Wellness.LLC

  • Allergy & Immunology Physician
  • Forest, VA
  • NPI 1689119646

  Pediatrics, VA

  Medicare reassignment NPD Authorized official
• Allergy & Immunology, PLC

  • Allergy & Immunology Physician
  • Roanoke, VA
  • NPI 1457423550

  VA

  Medicare reassignment NPD
• Intravene LLC

  • Home Infusion Agency
  • Lynchburg, VA
  • NPI 1285902890

  VA

  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  Pediatrics, VA

  Medicare reassignment NPD
• Compassionate Care Pediatrics, LLC

  • Pediatrics Physician
  • Martinsville, VA
  • NPI 1154860310

  Pediatrics

  NPD Authorized official
• Intravene, LLC

  • Home Infusion Agency
  • Lynchburg, VA
  • NPI 1518028604
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Allergy & Immunology VA, LLC

  • Allergy & Immunology Physician
  • Roanoke, VA
  • NPI 1609707488
  NPD (past)

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

• Danville Regional Medical Center LLC

  • General Acute Care Hospital
  • Martinsville, VA
  • NPI 1386720183

  Hospital

  Care Compare affiliation
• Danville Regional Medical Center, LLC

  • Rural Acute Care Hospital
  • Danville, VA
  • NPI 1154419737

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1972506509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13103",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240313103",
            "telephone_number": "434-252-0026",
            "fax_number": "844-693-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019A VISTA PARK DR",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514901",
            "telephone_number": "434-515-0419",
            "fax_number": "844-693-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "LUIS",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "M.D., MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101056392",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "VA",
            "license": "0101056392",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "VA",
            "license": "0101056392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5804426",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carley Marcouillier, LPC
• Simon David Marian, DO
• Heyde Marques Luz, LPC
• Kaitlin Gutenson Martin, PA
• Lynn-Ann Mason
• Tikycia Matos
• Brianah Mawyer
• Cassie Ringstaff McCall, PT
• Courtney N McCann Mosley, LCSW
• McConkey Chiropractic, LLC

• All providers in Forest, VA
• Allergy Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.