Mahendra K Matta


Address: 447 Nilles Rd, Suite 3, Fairfield, OH 45014-2626

Mahendra K Matta (NPI# 1518936814, PAC ID# 8628961711) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).

Physician Overview

Nation Provider ID (NPI) 1518936814
PAC ID by PECOS 8628961711
Professional Enrollment ID I20090807000034
Full Name Mahendra K Matta
Address 447 Nilles Rd
Suite 3
Fairfield
OH 45014-2626
Gender M
Graduation Year 1970
Primary Specialty COLORECTAL SURGERY (PROCTOLOGY)
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360362 TRIHEALTH EVENDALE HOSPITAL
360056 MERCY HOSPITAL FAIRFIELD
360179 BETHESDA NORTH

Other Locations

Address Phone Organization
10496 Montgomery Rd, Suite 204, Cincinnati, OH 45242-5220
447 Nilles Rd, Suite 3, Fairfield, OH 45014-2626

Organization Information

Office Location

Street Address 447 NILLES RD
SUITE 3
City FAIRFIELD
State OH
Zip 45014-2626

Physicians in the same zip code

Name Specialty Organization Address
Richard Sterling Jackson Optometry 574 Symmes Rd, Fairfield, OH 45014-1038
Amir Izhar Nephrology Kidney and Hypertension Center Inc 1210 Hicks Blvd, Fairfield, OH 45014-1921
Diana Christine Scott Certified Clinical Nurse Specialist (cns) Decoach Team LLC 6570 Sosna Dr, Fairfield, OH 45014-2222
James R Hodge Colorectal Surgery (proctology) Decoach Team LLC 6570 Sosna Dr, Fairfield, OH 45014-2222
Robert D Poteete Chiropractic 5088 Pleasant Ave, Fairfield, OH 45014-2518
Karl W Jackson Psychologist, Clinical 311 Nilles Rd A, Fairfield, OH 45014-2621
Dummi P Yathiraj Internal Medicine 311 Nilles Rd C, Fairfield, OH 45014-2621
Rahib N Vasi Internal Medicine 311 Nilles Rd, Suite C, Fairfield, OH 45014-2621
Shwetal Desai Internal Medicine 5157 Pleasant Ave, Fairfield, OH 45014-2622
Carol Anderson Ophthalmology 5161 Pleasant Ave, Fairfield, OH 45014-2639
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Competitor

Search similar physicians

City FAIRFIELD
Zip Code 45014
Specialty COLORECTAL SURGERY (PROCTOLOGY)
City + Specialty FAIRFIELD + COLORECTAL SURGERY (PROCTOLOGY)

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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