Dr. Elias N Matta

M.D. | Pediatric Emergency Medicine | Male

---

Complete Profile:

Dr. Elias N Matta basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Dr. Elias N Matta
Credential :	M.D.
Gender :	Male
Sole Proprietor :	Yes

Business Address:

Dr. Elias N Matta address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	501 6th Ave S St Petersburg, FL, 33701-4634 United States
Phone Number :	727-898-7451

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1669731394
NPI Entity Type :	Individual
First Enrolment Date :	15 May, 2012
Last Updated On :	03 Feb, 2021

Medicare Participation:

Dr. Elias N Matta participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5991940447
Medicare Enrollment ID :	I20161020000955
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2009
Accepts Medicare?	Yes. Dr. Elias N Matta accepts medicare insurance.

Group Practice Association:

Dr. Elias N Matta is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Elias N Matta is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Pediatric Physician Services, Inc.	7113989849	43	601 5th St S Suite 5 St Petersburg, FL - 337014804 Ph: 7277274429	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Elias N Matta are as mentioned. Primary taxonomy code for Dr. Elias N Matta, M.D. is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	ME122561	FL
208000000X	Pediatrics	No	25MA09039000	NJ
2080P0204X	Pediatrics Pediatric Emergency Medicine	No	25MA09039000	NJ
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	ME122561	FL

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	501 6th Ave S St Petersburg, FL, 33701-4634 United States
Phone Number :	727-898-7451

Business Location:

Patients can refer following map for directions to Dr. Elias N Matta practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.