Joel Michael Matta, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G27855 Issued in CA

Practice address

181 W. Meadow Drive, Suite 400
Vail, CO 81657

Phone

(970) 479-5843

Fax

(970) 237-3458

NPI assigned

Feb 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 19, 2018 through Nov 19, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: jmatta@tsc.emadirect.md
• Direct secure messaging: jmatta472802@oc.providencedirect.org

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1982747549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 W. MEADOW DRIVE, SUITE 400",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "81657",
            "telephone_number": "970-479-5843",
            "fax_number": "970-237-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W. MEADOW DRIVE, SUITE 400",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "81657",
            "telephone_number": "970-479-5843",
            "fax_number": "970-237-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTA",
        "first_name": "JOEL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G27855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G278550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Martin, DPT, OCS, FAAOMPT
• Natalie Lynn Martin, M.D.
• Danielle R Martineau
• Kaitlin Elizabeth Mast, MAED, ATC, LAT
• Nanami Lina Matsui, LPC, NCC
• Katherine (Katie) Mazzia, RD
• Tara Anne Usiak McConohy, LAT ATC
• Tracee L Metcalfe, MD
• Lucy Elizabeth Meyer, MD
• Emily Elizabeth Micho, OT

• Orthopaedic Surgery Physician in Vail, CO
• Providers in Vail, CO by specialty
• Orthopaedic Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.