| Anil Matta, MD | |
|
501 Keyser Ave, Natchitoches, LA 71457-6018 | |
| (318) 214-4401 | |
| (318) 214-4493 |
| Full Name | Anil Matta |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 501 Keyser Ave, Natchitoches, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871795674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD.201438 (Louisiana) | Secondary |
| 208M00000X | Hospitalist | MD.201438 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lagniappe Homecare Northwest Louisiana | Natchitoches, LA | Home health agency |
| Kindred At Home | Coushatta, LA | Home health agency |
| Elara Caring | Natchitoches, LA | Home health agency |
| Natchitoches Regional Medical Center | Natchitoches, LA | Hospital |
| Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
| Courtyard Of Natchitoches | Natchitoches, LA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Matta Medical Clinic Llc | 0749533396 | 2 |
| Natchitoches Parish Hospital Service District | 2163322140 | 7 |
| Entity Name | Natchitoches Parish Hospital Service District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669542346 PECOS PAC ID: 2163322140 Enrollment ID: O20040113000736 |
| Entity Name | Nes Louisiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669922431 PECOS PAC ID: 5496651002 Enrollment ID: O20161116002239 |
| Entity Name | Matta Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881174027 PECOS PAC ID: 0749533396 Enrollment ID: O20181029000900 |
| Mailing Address | Practice Location Address |
|---|---|
| Anil Matta, MD Po Box 2009, Natchitoches, LA 71457-2009 Ph: (318) 214-4401 | Anil Matta, MD 501 Keyser Ave, Natchitoches, LA 71457-6018 Ph: (318) 214-4401 |